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General NPI Number Information
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NPI Number | 1598447088
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Entity Type | Organization
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Legal Business Name | JRA FOOT AND ANKLE CENTER PLLC
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Dates
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Enumeration Date | 08/03/2023
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Last Update Date | 09/29/2023
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Provider Practice Location Address
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Address Line | 118 SHENANDOAH DR STE A
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City | SHENANDOAH
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State | TX
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Zip | 77381-1203
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Country | US
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Telephone | 936-900-9499
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Fax |
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Provider Business Mailing Address
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Address Line | 118 SHENANDOAH DR STE A
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City | SHENANDOAH
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State | TX
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Zip | 77381-1203
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Country | US
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Telephone | 936-900-9499
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Fax | 877-440-4883
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Authorized Official
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Title or Position | OFFICE MANGER
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Name | ARVINDER SINGH
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Credential |
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Telephone | 732-929-7270
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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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