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General NPI Number Information
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NPI Number | 1629913249
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Entity Type | Organization
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Legal Business Name | ADVANCED FOOT CENTRE, PA
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 5265 LOUETTA RD STE A
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City | SPRING
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State | TX
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Zip | 77379-8136
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Country | US
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Telephone | 281-348-2166
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Fax | 281-358-2153
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Provider Business Mailing Address
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Address Line | 25511 BUDDE RD STE 3701
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City | THE WOODLANDS
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State | TX
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Zip | 77380-4173
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Country | US
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Telephone | 281-348-2166
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Fax | 281-358-2153
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | DR. JASON C MILLER
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Credential | DPM
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Telephone | 281-348-2166
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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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