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General NPI Number Information
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NPI Number | 1427216050
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Entity Type | Organization
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Legal Business Name | DAVID GARDNER, DPM, PA
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Dates
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Enumeration Date | 05/30/2008
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Last Update Date | 05/30/2008
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Provider Practice Location Address
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Address Line | 1441 S MIDLOTHIAN PKWY SUITE 120
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-5591
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Country | US
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Telephone | 972-723-5400
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Fax | 972-723-5401
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Provider Business Mailing Address
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Address Line | 1441 S MIDLOTHIAN PKWY SUITE 120
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-5591
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Country | US
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Telephone | 972-723-5400
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Fax | 972-723-5401
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID ALAN GARDNER
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Credential | DPM
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Telephone | 972-723-5400
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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 | 1433
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License Number State | TX
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