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General NPI Number Information
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NPI Number | 1528875994
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Entity Type | Organization
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Legal Business Name | PURE FOOT AND ANKLE CENTER PLLC
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 7703 BEECHNUT ST
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City | HOUSTON
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State | TX
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Zip | 77074-3101
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Country | US
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Telephone | 821-263-1667
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Fax |
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Provider Business Mailing Address
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Address Line | 7703 BEECHNUT ST
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City | HOUSTON
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State | TX
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Zip | 77074-3101
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Country | US
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Telephone | 821-263-1667
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NEDA MEHMANDOOST
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Credential | DPM
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Telephone | 821-263-1667
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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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