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General NPI Number Information
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NPI Number | 1730202870
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS FAMILY FOOT CARE CENTER PA
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 3900 JOE RAMSEY BLVD BLDG 5
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City | GREENVILLE
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State | TX
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Zip | 75401-7727
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Country | US
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Telephone | 903-455-2383
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Fax | 903-455-9419
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Provider Business Mailing Address
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Address Line | 3900 JOE RAMSEY BLVD E BLDG 5
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City | GREENVILLE
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State | TX
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Zip | 75401-7727
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Country | US
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Telephone | 903-455-2383
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Fax | 903-455-9419
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Authorized Official
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Title or Position | BUSINESS ADMIN
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Name | KEELI HUNTSMAN
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Credential |
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Telephone | 208-351-5402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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