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General NPI Number Information
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NPI Number | 1487268587
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Entity Type | Organization
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Legal Business Name | AGAPE FOOT CARE PA
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Dates
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Enumeration Date | 09/04/2020
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 5584 N SHILOH RD
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City | GARLAND
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State | TX
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Zip | 75044-6614
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Country | US
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Telephone | 214-210-2911
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Fax | 214-210-2209
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Provider Business Mailing Address
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Address Line | 5584 N SHILOH RD
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City | GARLAND
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State | TX
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Zip | 75044-6614
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Country | US
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Telephone | 214-210-2911
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Fax | 214-210-2209
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Authorized Official
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Title or Position | CEO
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Name | LARRY D HAYES
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Credential | DPM
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Telephone | 214-210-2911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State | NULL
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