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General NPI Number Information
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NPI Number | 1053503482
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Entity Type | Organization
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Legal Business Name | FOOT SPECIALISTS OF TRI-COUNTY PA
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 09/01/2025
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Provider Practice Location Address
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Address Line | 119 MEDICAL CIR
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City | SULPHUR SPRINGS
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State | TX
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Zip | 75482-2138
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Country | US
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Telephone | 903-885-3754
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Fax | 903-347-1207
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Provider Business Mailing Address
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Address Line | 119 MEDICAL CIR
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City | SULPHUR SPRINGS
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State | TX
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Zip | 75482-2138
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Country | US
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Telephone | 903-885-2754
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Fax | 903-347-1207
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Authorized Official
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Title or Position | PODIATRIST
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Name | LANHUONG THI PHAM
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Credential | DPM
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Telephone | 903-885-2754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number | 1633P
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License Number State | TX
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