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General NPI Number Information
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NPI Number | 1750464251
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Entity Type | Organization
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Legal Business Name | AUSTIN FOOT CENTER PROFESSIONAL COPORATION
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 02/22/2011
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Provider Practice Location Address
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Address Line | 5656 W BEE CAVES RD #D204
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City | AUSTIN
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State | TX
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Zip | 78746-5236
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Country | US
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Telephone | 512-327-9251
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Fax | 512-327-9742
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Provider Business Mailing Address
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Address Line | 5656 BEE W CAVES RD #D204
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City | AUSTIN
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State | TX
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Zip | 78746-5236
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Country | US
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Telephone | 512-327-9251
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Fax | 512-327-9742
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. CASANDRA ZAMORA
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Credential |
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Telephone | 512-327-9251
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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 | 575
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License Number State | TX
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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 | 547
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License Number State | TX
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