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General NPI Number Information
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NPI Number | 1225915994
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Entity Type | Organization
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Legal Business Name | SAN DIEGO MOBILE PODIATRY INC
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Dates
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Enumeration Date | 08/16/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 16870 W BERNARDO DR STE 202
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City | SAN DIEGO
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State | CA
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Zip | 92127-1671
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Country | US
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Telephone | 650-793-6287
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Fax |
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Provider Business Mailing Address
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Address Line | 16870 W BERNARDO DR STE 202
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City | SAN DIEGO
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State | CA
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Zip | 92127-1671
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Country | US
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Telephone | 650-793-6287
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. TYSON SCHMIDTHUBER
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Credential | DPM
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Telephone | 650-793-6287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number |
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License Number State |
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