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General NPI Number Information
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NPI Number | 1023143757
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Entity Type | Organization
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Legal Business Name | WESTERN FOOT & ANKLE CENTER INC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 10/01/2020
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Provider Practice Location Address
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Address Line | 966 S WESTERN AVE STE 205
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City | LOS ANGELES
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State | CA
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Zip | 90006
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Country | US
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Telephone | 323-733-1500
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Fax | 323-733-1724
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Provider Business Mailing Address
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Address Line | 966 S WESTERN AVE STE 205
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City | LOS ANGELES
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State | CA
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Zip | 90006-1015
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Country | US
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Telephone | 714-527-3300
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD S RHEE
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Credential | DPM
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Telephone | 323-733-1500
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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 | E3845
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License Number State | CA
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