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General NPI Number Information
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NPI Number | 1063788735
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Entity Type | Organization
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Legal Business Name | SHEVER FOOT SPECIALISTS PA
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Dates
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Enumeration Date | 03/28/2012
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Last Update Date | 03/28/2012
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Provider Practice Location Address
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Address Line | 15055 EAST FWY SUITE A20
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City | CHANNELVIEW
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State | TX
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Zip | 77530-4144
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Country | US
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Telephone | 281-862-9503
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Fax | 281-862-9241
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Provider Business Mailing Address
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Address Line | 4582 KINGWOOD DR SUITE E#142
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City | KINGWOOD
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State | TX
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Zip | 77345-2640
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Country | US
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Telephone | 281-862-9503
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Fax | 281-862-9421
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SEPIDEH SHEVER
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Credential | DPM
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Telephone | 281-862-9503
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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 | 1743
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License Number State | TX
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