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General NPI Number Information
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NPI Number | 1487866521
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Entity Type | Organization
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Legal Business Name | ROBERT C BRACE
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 107 W 6TH ST
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City | WESLACO
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State | TX
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Zip | 78596-6033
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Country | US
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Telephone | 956-969-1063
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Fax | 956-969-8372
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Provider Business Mailing Address
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Address Line | 107 W 6TH ST
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City | WESLACO
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State | TX
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Zip | 78596-6033
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Country | US
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Telephone | 956-969-1063
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Fax | 956-969-8372
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT C BRACE
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Credential | DPM
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Telephone | 956-969-1063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | DP1742
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | DP667
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | DP881
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | DP548
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | DP548
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 213ER0200X
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Taxonomy Name | Radiology Podiatrist
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License Number | DP548
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | DP1742
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 213ER0200X
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Taxonomy Name | Radiology Podiatrist
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License Number | DP1742
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | DP1742
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License Number State | TX
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Taxonomy #10
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | DP667
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License Number State | TX
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Taxonomy #11
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | DP667
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License Number State | TX
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Taxonomy #12
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Taxonomy Code | 213ER0200X
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Taxonomy Name | Radiology Podiatrist
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License Number | DP667
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License Number State | TX
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Taxonomy #13
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | DP881
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License Number State | TX
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Taxonomy #14
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | DP881
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License Number State | TX
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Taxonomy #15
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | DP548
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License Number State | TX
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