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General NPI Number Information
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NPI Number | 1225433295
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Entity Type | Organization
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Legal Business Name | WILLIAM H KWAN, DPM, INC
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Dates
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Enumeration Date | 11/03/2014
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Last Update Date | 11/03/2014
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Provider Practice Location Address
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Address Line | 125 PARROT LN
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City | SIMI VALLEY
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State | CA
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Zip | 93065-3151
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Country | US
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Telephone | 805-584-3668
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Fax | 805-584-0016
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Provider Business Mailing Address
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Address Line | 125 PARROT LN
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City | SIMI VALLEY
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State | CA
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Zip | 93065-3151
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Country | US
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Telephone | 805-584-3668
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Fax | 805-584-0016
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM H KWAN
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Credential | DPM
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Telephone | 805-584-3668
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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 | E2917
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License Number State | CA
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