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General NPI Number Information
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NPI Number | 1164602157
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Entity Type | Organization
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Legal Business Name | TEXAS FAMILY FOOTCARE PA
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 12/12/2007
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Provider Practice Location Address
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Address Line | 5575 WARREN PKWY SUITE 101
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City | FRISCO
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State | TX
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Zip | 75034-4062
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Country | US
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Telephone | 972-712-4161
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Fax | 972-412-4289
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Provider Business Mailing Address
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Address Line | 5575 WARREN PKWY SUITE 101
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City | FRISCO
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State | TX
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Zip | 75034-4062
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Country | US
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Telephone | 972-712-4161
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Fax | 972-412-4289
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID ANTHONY ANDREONE
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Credential | DPM
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Telephone | 972-712-4161
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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 | 1481
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License Number State | TX
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