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General NPI Number Information
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NPI Number | 1902129166
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Entity Type | Organization
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Legal Business Name | FOUNDATION FOOT AND ANKLE CENTERS, PLLC
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Dates
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Enumeration Date | 03/02/2010
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Last Update Date | 11/08/2019
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Provider Practice Location Address
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Address Line | 7505 FANNIN ST STE 211
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City | HOUSTON
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State | TX
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Zip | 77054-1953
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Country | US
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Telephone | 713-234-7057
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Fax | 713-272-7202
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Provider Business Mailing Address
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Address Line | PO BOX 422158
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City | HOUSTON
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State | TX
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Zip | 77242-4358
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Country | US
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Telephone | 713-234-7057
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Fax | 713-272-7202
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Authorized Official
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Title or Position | OWNER/PODIATRIST
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Name | DR. JULIE KAI LESTER
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Credential | D.P.M.
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Telephone | 713-234-7057
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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 | 1869
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License Number State | TX
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