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General NPI Number Information
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NPI Number | 1184899213
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Entity Type | Organization
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Legal Business Name | MAURICE R MASLIAH DPM
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 5400 BALBOA BLVD STE 225
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City | ENCINO
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State | CA
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Zip | 91316-5215
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Country | US
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Telephone | 818-981-3344
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Fax | 818-981-4777
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Provider Business Mailing Address
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Address Line | 5400 BALBOA BLVD #225
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City | ENCINO
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State | CA
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Zip | 91316
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Country | US
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Telephone | 818-981-3344
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Fax | 818-981-4777
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Authorized Official
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Title or Position | OFFICE MGR
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Name | MS. DEBORAH LANHAM
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Credential |
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Telephone | 818-981-3344
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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 | E1951
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License Number State | CA
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Taxonomy #2
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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 |
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