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General NPI Number Information
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NPI Number | 1518597343
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Entity Type | Organization
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Legal Business Name | DENTON FOOT AND ANKLE SURGICAL SPECIALISTS PLLC
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Dates
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Enumeration Date | 01/21/2020
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Last Update Date | 05/25/2021
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Provider Practice Location Address
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Address Line | 3504 CORINTH PKWY STE 150
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City | CORINTH
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State | TX
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Zip | 76208-1316
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Country | US
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Telephone | 214-215-4764
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Fax |
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Provider Business Mailing Address
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Address Line | 3504 CORINTH PKWY STE 150
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City | CORINTH
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State | TX
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Zip | 76208-1316
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Country | US
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Telephone | 940-268-3839
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | LESLEY RENAYE RICHEY-SMITH
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Credential | DPM
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Telephone | 214-215-4764
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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 |
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License Number State |
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