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General NPI Number Information
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NPI Number | 1205326972
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Entity Type | Organization
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Legal Business Name | BAREFEET PODIATRY INC
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Dates
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Enumeration Date | 05/17/2018
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Last Update Date | 02/21/2022
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Provider Practice Location Address
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Address Line | 2345 E 8TH ST STE 105
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City | NATIONAL CITY
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State | CA
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Zip | 91950-2866
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Country | US
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Telephone | 858-275-6320
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Fax |
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Provider Business Mailing Address
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Address Line | 9245 DOWDY DR STE 201
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City | SAN DIEGO
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State | CA
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Zip | 92126-6386
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Country | US
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Telephone | 858-275-6320
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Fax | 877-671-6835
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Authorized Official
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Title or Position | PRESIDENT
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Name | AKMAL ATMAR
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Credential | DPM
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Telephone | 858-275-6320
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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 |
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License Number State |
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