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General NPI Number Information
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NPI Number | 1922190289
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Entity Type | Organization
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Legal Business Name | FOOT CARE CONSULTANTS. PA
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6300 W PARKER ROAD STE 420
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City | PLANO
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State | TX
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Zip | 75093
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Country | US
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Telephone | 972-981-7900
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Fax | 972-981-7781
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Provider Business Mailing Address
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Address Line | 6300 W PARKER ROAD STE 420
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City | PLANO
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State | TX
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Zip | 75093
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Country | US
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Telephone | 972-981-7900
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Fax | 972-981-7781
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | CHARLES B MARDER
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Credential | DPM
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Telephone | 972-981-7900
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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 | DP1106
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License Number State | TX
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