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General NPI Number Information
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NPI Number | 1306142146
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Entity Type | Organization
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Legal Business Name | NEXT STEP ORTHOPEDICS, PLLC
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Dates
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Enumeration Date | 01/26/2011
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 8865 SYNERGY DR 101
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City | MCKINNEY
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State | TX
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Zip | 75070-6506
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Country | US
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Telephone | 972-547-0047
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Fax | 972-547-0065
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Provider Business Mailing Address
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Address Line | 8865 SYNERGY DR STE 101
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City | MCKINNEY
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State | TX
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Zip | 75070-6522
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Country | US
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Telephone | 972-547-0047
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Fax | 972-547-0065
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Authorized Official
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Title or Position | OWNER
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Name | DOMINIQUE A NICKSON
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Credential | MD
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Telephone | 972-547-0047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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