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NPI 1598431447

NPI 1598431447 : DENTON PODIATRY PLLC : DENTON, TX

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General NPI Number Information
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    NPI Number           |    1598431447
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    Entity Type          |    Organization 
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    Legal Business Name  |    DENTON PODIATRY PLLC 
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Dates
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    Enumeration Date     |    08/20/2021
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    Last Update Date     |    03/23/2022
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Provider Practice Location Address
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    Address Line         |    2210 SAN JACINTO BLVD STE 5 
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    City                 |    DENTON
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    State                |    TX
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    Zip                  |    76205-7531
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    Country              |    US
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    Telephone            |    940-566-1919
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    Fax                  |    833-906-2553
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Provider Business Mailing Address
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    Address Line         |    2210 SAN JACINTO BLVD STE 5 
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    City                 |    DENTON
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    State                |    TX
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    Zip                  |    76205-7531
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    Country              |    US
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    Telephone            |    940-566-1919
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    Fax                  |    940-387-5909
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. DAVID J BARBER 
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    Credential           |    DPM
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    Telephone            |    940-566-1919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    
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    License Number State |    
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