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General NPI Number Information
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NPI Number | 1043681497
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Entity Type | Organization
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Legal Business Name | HOMECALL MEDICAL GROUP
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Dates
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Enumeration Date | 10/12/2015
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Last Update Date | 10/12/2015
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Provider Practice Location Address
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Address Line | 934 S EUCLID ST
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City | ANAHEIM
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State | CA
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Zip | 92802-1523
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Country | US
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Telephone | 714-317-8210
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Fax |
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Provider Business Mailing Address
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Address Line | 934 S EUCLID ST
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City | ANAHEIM
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State | CA
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Zip | 92802-1523
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Country | US
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Telephone | 714-317-8210
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MATTHEW DO
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Credential | DPM
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Telephone | 714-317-8210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number |
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License Number State |
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