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General NPI Number Information
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NPI Number | 1275897142
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Entity Type | Organization
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Legal Business Name | RIVERCITY FOOTWORKS, INC.
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Dates
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Enumeration Date | 06/26/2012
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Last Update Date | 06/26/2012
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Provider Practice Location Address
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Address Line | 9901 N CAPITAL OF TEXAS HWY SUITE 120
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City | AUSTIN
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State | TX
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Zip | 78759-5852
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Country | US
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Telephone | 512-413-8664
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 202950
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City | AUSTIN
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State | TX
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Zip | 78720-2950
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Country | US
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Telephone | 512-346-4400
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Fax | 512-346-3009
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Authorized Official
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Title or Position | CERTIFIED PEDORTHIST
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Name | MR. STEPHEN EARL SADLER
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Credential | C.PED
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Telephone | 512-346-4400
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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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License Number State |
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