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General NPI Number Information
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NPI Number | 1376721506
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Entity Type | Organization
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Legal Business Name | ANTHONY P NOREIGA DPM PA
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 08/22/2011
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Provider Practice Location Address
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Address Line | 900 ELLIS AVE
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City | LUFKIN
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State | TX
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Zip | 75904-3335
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Country | US
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Telephone | 936-637-3383
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Fax |
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Provider Business Mailing Address
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Address Line | 900 ELLIS AVE
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City | LUFKIN
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State | TX
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Zip | 75904-3335
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Country | US
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Telephone | 936-637-3383
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF PODIATRY
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Name | DR. ANTHONY P NOREIGA
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Credential | DPM
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Telephone | 936-637-3383
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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 | 1232
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License Number State | TX
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