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General NPI Number Information
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NPI Number | 1174404693
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Entity Type | Organization
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Legal Business Name | ARISE FOOT AND ANKLE PLLC
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 17516 MATANY RD STE 200
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City | JUSTIN
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State | TX
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Zip | 76247-8707
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Country | US
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Telephone | 469-630-2424
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Fax | 469-630-2454
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Provider Business Mailing Address
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Address Line | 17516 MATANY RD STE 200
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City | JUSTIN
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State | TX
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Zip | 76247-8707
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Country | US
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Telephone | 469-630-2424
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Fax | 469-630-2454
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM STEPHENS
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Credential | DPM
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Telephone | 469-630-2454
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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 |
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License Number State |
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