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General NPI Number Information
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NPI Number | 1871998534
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Entity Type | Organization
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Legal Business Name | PODIATRY ASSOCIATES OF TEXAS.
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Dates
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Enumeration Date | 10/23/2014
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 1186 W PIONEER PKWY
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City | ARLINGTON
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State | TX
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Zip | 76013-6367
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Country | US
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Telephone | 817-800-8380
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Fax | 817-468-0064
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Provider Business Mailing Address
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Address Line | 1186 W PIONEER PKWY
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City | ARLINGTON
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State | TX
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Zip | 76013-6367
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Country | US
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Telephone | 817-704-4223
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Fax | 817-984-3970
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Authorized Official
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Title or Position | PODIATRIST/OWNER
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Name | DR. SILAS ODANGA. SALANO
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Credential | DPM
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Telephone | 817-800-8380
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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 | 2080
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License Number State | TX
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