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NPI 1669560744

NPI 1669560744 : FRANK J CHERPACK DPM : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1669560744
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    Entity Type          |    Individual 
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    Provider Name        |    FRANK J CHERPACK DPM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/11/2006
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    Last Update Date     |    10/02/2009
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Provider Practice Location Address
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    Address Line         |    8701 SHOAL CREEK BLVD STE 102
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78757-6864
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    Country              |    US
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    Telephone            |    512-343-8834
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    Fax                  |    512-343-8854
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Provider Business Mailing Address
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    Address Line         |    PO BOX 202734 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78720-2734
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    Country              |    US
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    Telephone            |    512-343-8834
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    Fax                  |    512-343-8854
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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       |    1198
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    License Number State |    TX
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