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General NPI Number Information
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NPI Number | 1225210990
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Entity Type | Organization
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Legal Business Name | BEXARFOOT CARE, PA
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 206 NE WILSHIRE BLVD
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City | BURLESON
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State | TX
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Zip | 76028-4117
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Country | US
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Telephone | 817-426-5088
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Fax | 817-426-5089
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Provider Business Mailing Address
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Address Line | 206 NE WILSHIRE BLVD
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City | BURLESON
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State | TX
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Zip | 76028-4117
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Country | US
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Telephone | 817-426-5088
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Fax | 817-426-5089
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. CINDY WEBSTER
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Credential | DPM
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Telephone | 817-426-5088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number | 1648
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License Number State | TX
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