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General NPI Number Information
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NPI Number | 1275026478
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Entity Type | Organization
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Legal Business Name | A STEP ABOVE FOOTCARE INC
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Dates
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Enumeration Date | 06/12/2018
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 3816 WOODRUFF AVE STE 302
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City | LONG BEACH
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State | CA
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Zip | 90808-2146
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Country | US
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Telephone | 562-429-5300
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Fax | 562-429-0535
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Provider Business Mailing Address
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Address Line | 3816 WOODRUFF AVE STE 302
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City | LONG BEACH
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State | CA
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Zip | 90808-2146
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Country | US
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Telephone | 562-429-5300
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Fax | 562-429-0535
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Authorized Official
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Title or Position | OWNER
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Name | MARJORIE J KHAWAM
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Credential | DPM
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Telephone | 562-429-5300
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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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Taxonomy #2
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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