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General NPI Number Information
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NPI Number | 1730971045
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Entity Type | Organization
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Legal Business Name | BRAZOS FOOT & ANKLE LLC
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 2524 WASHINGTON AVE
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City | WACO
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State | TX
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Zip | 76710-7447
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Country | US
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Telephone | 254-300-7703
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Fax | 254-300-7709
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Provider Business Mailing Address
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Address Line | 2524 WASHINGTON AVE
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City | WACO
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State | TX
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Zip | 76710-7447
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Country | US
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Telephone | 254-300-7703
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Fax | 254-300-7709
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | MEREDITH SAPPINGTON
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Credential | DPM
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Telephone | 254-300-7703
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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 | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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