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General NPI Number Information
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NPI Number | 1740609882
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Entity Type | Organization
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Legal Business Name | PREMIER FOOT & ANKLE, PLLC
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 04/15/2014
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Provider Practice Location Address
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Address Line | 9359 LEGACY DR STE 300B APT 2103
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City | FRISCO
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State | TX
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Zip | 75033-6712
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Country | US
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Telephone | 214-619-2240
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Fax | 214-619-2249
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Provider Business Mailing Address
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Address Line | 6309 PRESTON RD STE 1200
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City | PLANO
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State | TX
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Zip | 75024-2741
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Country | US
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Telephone | 972-424-8999
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Fax | 972-612-3926
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Authorized Official
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Title or Position | OWNER
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Name | JARYL G KORPINEN
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Credential | DPM
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Telephone | 214-619-2240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 481539
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License Number State | TX
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