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General NPI Number Information
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NPI Number | 1508278623
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Entity Type | Organization
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Legal Business Name | AUSTIN FOOT & ANKLE CONSULTANTS PLLC
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 05/22/2014
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Provider Practice Location Address
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Address Line | 4316 JAMES CASEY ST BLDG. F, STE. 100
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City | AUSTIN
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State | TX
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Zip | 78745-1116
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Country | US
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Telephone | 512-649-3166
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Fax | 877-528-6642
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Provider Business Mailing Address
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Address Line | PO BOX 49547
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City | AUSTIN
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State | TX
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Zip | 78765-9547
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Country | US
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Telephone | 512-649-3166
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Fax | 877-528-6642
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JOSE ARNALDO RIVERA
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Credential | D.P.M
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Telephone | 512-649-3166
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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 | 1937
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License Number State | TX
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