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General NPI Number Information
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NPI Number | 1982115259
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Entity Type | Organization
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Legal Business Name | FIRST STEP FOOT AND ANKLE CENTER
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Dates
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Enumeration Date | 10/13/2017
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Last Update Date | 09/10/2018
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Provider Practice Location Address
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Address Line | 15003 FM 529 RD
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City | HOUSTON
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State | TX
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Zip | 77095-4375
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Country | US
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Telephone | 281-910-7172
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Fax | 281-503-7812
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Provider Business Mailing Address
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Address Line | PO BOX 50
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City | STAFFORD
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State | TX
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Zip | 77497-0050
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Country | US
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Telephone | 281-910-7172
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Fax | 281-503-7812
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Authorized Official
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Title or Position | OWNER
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Name | REBEKAH DENISE FONTENOT
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Credential | DPM
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Telephone | 281-910-7172
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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 | 2189
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License Number State | TX
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