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General NPI Number Information
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NPI Number | 1174255327
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Entity Type | Organization
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Legal Business Name | TEXAS FOOT AND ANKLE CONSULTANTS LLC
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Dates
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Enumeration Date | 06/27/2022
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Last Update Date | 06/27/2022
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Provider Practice Location Address
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Address Line | 5012 S US HIGHWAY 75 STE 270
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City | DENISON
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State | TX
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Zip | 75020-4597
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Country | US
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Telephone | 214-833-8709
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Fax |
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Provider Business Mailing Address
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Address Line | 399 W CAMPBELL RD STE 103
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City | RICHARDSON
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State | TX
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Zip | 75080-3615
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Country | US
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Telephone | 214-833-8709
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAYMOND DELPAK
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Credential | DPM
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Telephone | 214-833-8709
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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 |
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License Number State |
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