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General NPI Number Information
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NPI Number | 1083623730
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Entity Type | Organization
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Legal Business Name | MARTIN P ALONGI
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 05/16/2012
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Provider Practice Location Address
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Address Line | 416 N BEDFORD DRIVE #307
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4322
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Country | US
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Telephone | 310-274-5483
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Fax | 310-274-4573
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Provider Business Mailing Address
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Address Line | 416 N BEDFORD DRIVE #307
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4322
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Country | US
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Telephone | 310-274-5483
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Fax | 310-274-4573
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. MARY M ALONGI
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Credential |
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Telephone | 818-430-2660
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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 | E3705
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License Number State | CA
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