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NPI 1649295858

NPI 1649295858 : ROBERT GEORGE FRYKBERG DPM, MPH : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1649295858
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT GEORGE FRYKBERG DPM, MPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/12/2006
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    Last Update Date     |    09/25/2024
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Provider Practice Location Address
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    Address Line         |    701 S ZARZAMORA ST 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78207-5209
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    Country              |    US
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    Telephone            |    210-358-7717
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    701 S ZARZAMORA ST 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78207-5209
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    692181
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    185
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    License Number State |    NM
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Taxonomy #3
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    692181
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    License Number State |    TX
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