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General NPI Number Information
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NPI Number | 1861454837
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Entity Type | Organization
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Legal Business Name | PRECISION PODIATRY PC
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | 7200 WYOMING SPGS STE 1150
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City | ROUND ROCK
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State | TX
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Zip | 78681
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Country | US
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Telephone | 512-255-0125
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Fax | 512-255-0153
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Provider Business Mailing Address
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Address Line | 7200 WYOMING SPGS STE 1150
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City | ROUND ROCK
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State | TX
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Zip | 78681-4310
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Country | US
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Telephone | 512-255-0125
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Fax | 512-255-0153
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | RASHELLE PICKARD-RAMIREZ
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Credential |
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Telephone | 512-255-0125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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