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General NPI Number Information
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NPI Number | 1578606919
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Entity Type | Organization
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Legal Business Name | MAI'S FOOT SPECIALIST,PA
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 10904 SCARSDALE BLVD STE 275
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City | HOUSTON
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State | TX
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Zip | 77089-6035
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Country | US
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Telephone | 713-429-4123
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Fax | 713-429-5289
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Provider Business Mailing Address
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Address Line | 10904 SCARSDALE BLVD STE 275
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City | HOUSTON
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State | TX
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Zip | 77089-6035
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Country | US
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Telephone | 713-429-4123
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Fax | 713-429-5289
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TUAN HOANG MAI
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Credential | D.P.M.
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Telephone | 713-429-4123
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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 | TX1570
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License Number State | TX
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