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General NPI Number Information
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NPI Number | 1508457649
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Entity Type | Organization
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Legal Business Name | FRANK J. HENRY DPM
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 02/02/2021
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Provider Practice Location Address
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Address Line | 909 N NAVARRO ST
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City | VICTORIA
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State | TX
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Zip | 77901-6734
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Country | US
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Telephone | 361-576-2111
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Fax | 361-576-6578
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Provider Business Mailing Address
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Address Line | 909 N NAVARRO ST
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City | VICTORIA
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State | TX
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Zip | 77901-6734
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Country | US
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Telephone | 361-576-2111
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Fax | 361-576-6578
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Authorized Official
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Title or Position | FRONT DESK/BILLING
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Name | CHRISTOPHER BRISSETTE
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Credential |
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Telephone | 361-576-2111
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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