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General NPI Number Information
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NPI Number | 1154320760
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Entity Type | Organization
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Legal Business Name | MARSDEN SHOE CO
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6707 GREENLEAF AVE
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City | WHITTIER
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State | CA
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Zip | 90601-4110
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Country | US
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Telephone | 562-698-7281
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Fax | 562-693-0462
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Provider Business Mailing Address
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Address Line | 6707 GREENLEAF AVE
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City | WHITTIER
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State | CA
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Zip | 90601-4110
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Country | US
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Telephone | 562-698-7281
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Fax | 562-693-0462
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Authorized Official
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Title or Position | CEO
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Name | DAN HWANG
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Credential | CERTIFIED PEDORTHIST
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Telephone | 562-698-7281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | CA
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