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NPI 1912904608

NPI 1912904608 : BERNARD LOUIS DANNA JR. DPM : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1912904608
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    Entity Type          |    Individual 
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    Provider Name        |    BERNARD LOUIS DANNA JR. DPM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/07/2005
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    Last Update Date     |    12/19/2013
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Provider Practice Location Address
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    Address Line         |    7575 SAN FELIPE ST 301
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77063-1711
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    Country              |    US
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    Telephone            |    713-974-4511
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    Fax                  |    713-974-4501
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Provider Business Mailing Address
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    Address Line         |    7575 SAN FELIPE ST 301
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77063-1711
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    Country              |    US
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    Telephone            |    713-974-4511
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    Fax                  |    713-974-4501
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    TX0527
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    License Number State |    TX
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