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General NPI Number Information
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NPI Number | 1811146061
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Entity Type | Organization
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Legal Business Name | DANIEL CRUZ DPM FOOT AND ANKLE SPECIALIST
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 09/11/2008
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Provider Practice Location Address
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Address Line | 1423 GUADALUPE ST SUITE 102
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City | SAN ANTONIO
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State | TX
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Zip | 78207-5527
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Country | US
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Telephone | 210-223-5500
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Fax | 210-223-3850
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Provider Business Mailing Address
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Address Line | 1423 GUADALUPE ST SUITE 102
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City | SAN ANTONIO
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State | TX
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Zip | 78207-5527
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Country | US
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Telephone | 210-223-5500
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Fax | 210-223-3850
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | MS. MARGO URIEGAS GRIFFITH
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Credential |
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Telephone | 210-223-5500
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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 | 1784
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License Number State | TX
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