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General NPI Number Information
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NPI Number | 1154679678
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Entity Type | Organization
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Legal Business Name | MD FOOT AND ANKLE LLC
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Dates
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Enumeration Date | 08/15/2012
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Last Update Date | 08/15/2012
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Provider Practice Location Address
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Address Line | 1200 BINZ ST 1275B
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City | HOUSTON
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State | TX
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Zip | 77004-6900
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Country | US
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Telephone | 713-529-1010
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Fax | 713-529-6454
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Provider Business Mailing Address
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Address Line | 1200 BINZ ST 1275B
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City | HOUSTON
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State | TX
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Zip | 77004-6900
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Country | US
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Telephone | 713-529-1010
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Fax | 713-529-6454
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHERMAN NAGLER
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Credential | D.P.M.
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Telephone | 713-529-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0789
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License Number State | TX
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