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General NPI Number Information
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NPI Number | 1043741358
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Entity Type | Organization
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Legal Business Name | GARVEY PODIATRY CLINIC, A PC
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 10138 GARVEY AVE SUITE #C
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City | EL MONTE
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State | CA
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Zip | 91733-5012
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Country | US
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Telephone | 626-361-7055
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Fax | 626-768-7112
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Provider Business Mailing Address
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Address Line | 10138 GARVEY AVE SUITE #C
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City | EL MONTE
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State | CA
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Zip | 91733-5012
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Country | US
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Telephone | 626-361-7055
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Fax | 626-768-7112
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Authorized Official
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Title or Position | CEO
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Name | TRANG DUONG
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Credential | DPM
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Telephone | 626-361-7055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E5164
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License Number State | CA
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