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General NPI Number Information
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NPI Number | 1902997398
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Entity Type | Organization
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Legal Business Name | AFCOA KINGWOOD, PC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 1414 GREEN OAK TERRACE CT 100
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City | KINGWOOD
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State | TX
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Zip | 77339-2960
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Country | US
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Telephone | 281-358-9889
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Fax | 281-358-1465
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Provider Business Mailing Address
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Address Line | 1414 GREEN OAK TERRACE CT STE 100
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City | KINGWOOD
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State | TX
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Zip | 77339-2960
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Country | US
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Telephone | 281-358-9889
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Fax | 281-358-1465
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Authorized Official
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Title or Position | CEO PRESIDENT
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Name | WILLIAM KEVIN PEARSON
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Credential | DPM
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Telephone | 770-265-9884
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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 | 0713
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License Number State | TX
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