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General NPI Number Information
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NPI Number | 1720267065
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Entity Type | Organization
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Legal Business Name | DFW FOOT AND ANKLE, PA
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 05/28/2014
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Provider Practice Location Address
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Address Line | 2281 OLYMPIA DRIVE #200
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City | FLOWER MOUND
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State | TX
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Zip | 75028
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Country | US
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Telephone | 972-899-2170
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Fax | 972-899-2171
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Provider Business Mailing Address
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Address Line | 2281 OLYMPIA DR. #200
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City | FLOWER MOUND
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State | TX
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Zip | 75028
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Country | US
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Telephone | 972-899-2170
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Fax | 972-899-2171
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Authorized Official
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Title or Position | PRESIDENT/PROVIDER
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Name | DR. DAVEY PASCHAEL SUH
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Credential | DPM
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Telephone | 972-899-2170
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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 | 1581
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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 | 1581
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License Number State | TX
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