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General NPI Number Information
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NPI Number | 1730825290
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Entity Type | Organization
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Legal Business Name | DOOR DOCS, PLLC
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Dates
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Enumeration Date | 05/09/2022
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Last Update Date | 05/09/2022
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Provider Practice Location Address
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Address Line | 4920 SEAWALL BLVD STE B
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City | GALVESTON
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State | TX
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Zip | 77551-6011
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Country | US
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Telephone | 281-699-3323
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Fax | 281-699-3276
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Provider Business Mailing Address
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Address Line | PO BOX 873
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City | GALVESTON
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State | TX
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Zip | 77553-0873
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Country | US
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Telephone | 281-699-3323
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | JEANNA MASCORRO
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Credential | DPM
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Telephone | 281-787-1478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number |
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License Number State |
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