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General NPI Number Information
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NPI Number | 1720002579
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Entity Type | Individual
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Provider Name | CATHERINE M. REZENDES DPM
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 12413 JUDSON RD STE.120
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City | LIVE OAK
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State | TX
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Zip | 78233-3202
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Country | US
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Telephone | 210-655-9965
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Fax | 210-655-9985
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Provider Business Mailing Address
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Address Line | 12413 JUDSON RD STE.120
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City | LIVE OAK
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State | TX
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Zip | 78233-3202
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Country | US
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Telephone | 210-655-9965
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Fax | 210-655-9985
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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 | 1289
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 1289
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License Number State | TX
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