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General NPI Number Information
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NPI Number | 1942323175
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS PODIATRY ASSOCIATES PA
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 01/29/2015
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Provider Practice Location Address
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Address Line | 401 WESTPARK WAY
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City | EULESS
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State | TX
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Zip | 76040-3957
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Country | US
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Telephone | 817-283-5151
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Fax | 817-283-8360
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Provider Business Mailing Address
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Address Line | 401 WESTPARK WAY
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City | EULESS
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State | TX
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Zip | 76040-3957
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Country | US
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Telephone | 817-283-5151
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Fax | 817-283-8360
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY PATRICK TAYLOR
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Credential | D.P.M.
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Telephone | 817-283-5151
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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 | TX1421
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License Number State | TX
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