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General NPI Number Information
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NPI Number | 1184731531
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Entity Type | Organization
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Legal Business Name | RON E. SLATE JR DPM PLLC
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 2036 E MULBERRY ST
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City | ANGLETON
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State | TX
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Zip | 77515-3923
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Country | US
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Telephone | 979-848-0777
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Fax | 979-849-0757
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Provider Business Mailing Address
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Address Line | 2036 E MULBERRY ST
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City | ANGLETON
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State | TX
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Zip | 77515-3923
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Country | US
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Telephone | 979-848-0777
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Fax | 979-849-0757
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/OWNER
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Name | MR. RON E. SLATE JR.
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Credential | DPM PLLC
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Telephone | 979-848-0777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number State |
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