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General NPI Number Information
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NPI Number | 1265728497
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Entity Type | Organization
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Legal Business Name | SEQUOIA PODIATRY GROUP, INC.
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Dates
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Enumeration Date | 06/27/2011
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 308 S JOHNSON ST
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City | VISALIA
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State | CA
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Zip | 93291-6136
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Country | US
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Telephone | 559-734-1171
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Fax | 559-734-6849
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Provider Business Mailing Address
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Address Line | 308 S JOHNSON ST
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City | VISALIA
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State | CA
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Zip | 93291-6136
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Country | US
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Telephone | 559-734-1171
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Fax | 559-734-6849
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | MR. RICHARD R MOTOS
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Credential | DPM
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Telephone | 559-734-1171
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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 | E4791
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License Number State | CA
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