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General NPI Number Information
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NPI Number | 1184718454
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Entity Type | Individual
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Provider Name | MICHAEL ARTIE ALBERICO DPM
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 10/20/2010
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Provider Practice Location Address
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Address Line | 4346 N COGSWELL RD
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City | EL MONTE
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State | CA
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Zip | 91732-2016
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Country | US
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Telephone | 626-442-7455
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Fax | 626-442-4548
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Provider Business Mailing Address
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Address Line | PO BOX 5462
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City | EL MONTE
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State | CA
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Zip | 91734-1462
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Country | US
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Telephone | 626-442-7455
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Fax | 626-442-4548
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E3637
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License Number State | CA
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