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General NPI Number Information
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NPI Number | 1174997027
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Entity Type | Organization
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Legal Business Name | TOE-TAL FOOT & ANKLE CARE, PA
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Dates
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Enumeration Date | 11/16/2015
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Last Update Date | 07/19/2016
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Provider Practice Location Address
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Address Line | 6900 DENTON HWY SUITE 111
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City | WATAUGA
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State | TX
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Zip | 76148-1918
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Country | US
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Telephone | 817-656-0303
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Fax | 817-520-3223
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Provider Business Mailing Address
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Address Line | 6900 DENTON HWY SUITE 111
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City | WATAUGA
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State | TX
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Zip | 76148-1918
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Country | US
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Telephone | 817-656-0303
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Fax | 817-520-3223
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL CAIRNS
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Credential | DPM
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Telephone | 817-656-0303
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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 | 2152
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License Number State | TX
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