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General NPI Number Information
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NPI Number | 1548468549
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Entity Type | Organization
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Legal Business Name | JOHNNIE B FELKINS DPM MPH
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 1901 MEDI PARK DR STE 1054
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City | AMARILLO
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State | TX
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Zip | 79106-2108
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Country | US
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Telephone | 806-322-4004
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 MEDI PARK DR STE 1054
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City | AMARILLO
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State | TX
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Zip | 79106-2108
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Country | US
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Telephone | 806-322-4004
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Fax |
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Authorized Official
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Title or Position | PODIATRIST/OWNER
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Name | JOHNNIE B FELKINS
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Credential | DPM
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Telephone | 806-322-4004
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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 | 1721
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License Number State | TX
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