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General NPI Number Information
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NPI Number | 1083752281
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Entity Type | Individual
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Provider Name | JOHN JOSEPH VOHASKA DPM
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Gender | Male
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4560 ADMIRALTY WAY SUITE 201
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City | MARINA DEL REY
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State | CA
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Zip | 90292-5423
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Country | US
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Telephone | 310-871-2383
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Fax | 310-888-4016
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Provider Business Mailing Address
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Address Line | 269 S BEVERLY DR # 368
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-3807
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Country | US
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Telephone | 310-871-2383
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Fax | 310-888-4016
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E3946
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License Number State | CA
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