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General NPI Number Information
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NPI Number | 1700944634
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Entity Type | Individual
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Provider Name | WILLIAM HENRY MITCHELL JR. D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 11/07/2014
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Provider Practice Location Address
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Address Line | 3907 PALM
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City | HOUSTON
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State | TX
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Zip | 77004-6532
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Country | US
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Telephone | 512-983-8060
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Fax |
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Provider Business Mailing Address
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Address Line | 3907 PALM
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City | HOUSTON
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State | TX
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Zip | 77004-6532
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Country | US
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Telephone | 512-983-8060
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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 | 650
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 650
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License Number State | TX
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