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General NPI Number Information
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NPI Number | 1235169319
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Entity Type | Organization
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Legal Business Name | JAMES J. LONGOBARDI, DPM, INC.
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 11/19/2009
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Provider Practice Location Address
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Address Line | 450 4TH AVE STE 401
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City | CHULA VISTA
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State | CA
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Zip | 91910-4426
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Country | US
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Telephone | 619-425-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 450 4TH AVE STE 401
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City | CHULA VISTA
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State | CA
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Zip | 91910-4426
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Country | US
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Telephone | 619-425-5500
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JAMES JOSEPH LONGOBARDI
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Credential | DPM
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Telephone | 619-425-5500
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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 | E3675
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License Number State | CA
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