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General NPI Number Information
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NPI Number | 1023545407
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Entity Type | Individual
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Provider Name | BRANDON ARTHUR BOTTINI DPM
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Gender | Male
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Dates
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Enumeration Date | 05/17/2017
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 6600 MERCY CT STE 260
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City | FAIR OAKS
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State | CA
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Zip | 95628-3190
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Country | US
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Telephone | 916-961-3434
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 25576
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City | BELFAST
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State | ME
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Zip | 04915-2006
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Country | US
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Telephone | 415-645-4525
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Fax |
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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 | E1-0010266
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E6136
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License Number State | CA
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