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General NPI Number Information
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NPI Number | 1053479592
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Entity Type | Individual
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Provider Name | M STUART ALTMAN DPM
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Gender | Male
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1112 DALLAS DR STE 401
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City | DENTON
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State | TX
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Zip | 76205
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Country | US
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Telephone | 940-387-3411
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Fax | 940-387-7031
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Provider Business Mailing Address
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Address Line | 1112 DALLAS DR STE 401
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City | DENTON
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State | TX
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Zip | 76205
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Country | US
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Telephone | 940-387-3411
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Fax | 940-387-7031
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0389
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License Number State | TX
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