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General NPI Number Information
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NPI Number | 1356013486
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Entity Type | Organization
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Legal Business Name | STAR FOOT & ANKLE SPECIALISTS PLLC
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Dates
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Enumeration Date | 09/28/2021
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Last Update Date | 10/28/2021
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Provider Practice Location Address
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Address Line | 3550 PARKWOOD BLVD STE 702
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City | FRISCO
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State | TX
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Zip | 75034-1920
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Country | US
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Telephone | 972-559-0051
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Fax |
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Provider Business Mailing Address
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Address Line | 3550 PARKWOOD BLVD STE 702
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City | FRISCO
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State | TX
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Zip | 75034-1920
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PART OWNER
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Name | DR. MORGAN ZELLERS
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Credential | DPM
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Telephone | 219-670-9505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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