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General NPI Number Information
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NPI Number | 1841651304
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Entity Type | Organization
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Legal Business Name | KARRY ANN SHEBETKA, DPM PA
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Dates
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Enumeration Date | 03/11/2016
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Last Update Date | 03/11/2016
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Provider Practice Location Address
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Address Line | 4330 MEDICAL DRIVE SUITE 120
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3353
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Country | US
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Telephone | 210-614-7414
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Fax | 210-616-0509
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Provider Business Mailing Address
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Address Line | PO BOX 276
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City | SAN ANTONIO
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State | TX
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Zip | 78291-0276
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Country | US
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Telephone | 210-828-2503
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PHYLLIS DAVENPORT
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Credential |
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Telephone | 210-237-4400
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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 | 1351
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License Number State | TX
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