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General NPI Number Information
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NPI Number | 1275131856
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Entity Type | Organization
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Legal Business Name | ALIGN FOOT AND ANKLE CENTER INC A
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Dates
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Enumeration Date | 10/15/2020
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Last Update Date | 10/15/2020
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Provider Practice Location Address
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Address Line | 14 E ARRELLAGA ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2502
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Country | US
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Telephone | 805-965-1515
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Fax | 805-482-6524
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Provider Business Mailing Address
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Address Line | 2460 N PONDEROSA DR STE A105
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City | CAMARILLO
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State | CA
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Zip | 93010-2375
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Country | US
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Telephone | 805-482-0711
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Fax | 805-482-6524
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Authorized Official
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Title or Position | OWNER
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Name | HAI-EN PENG
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Credential | DPM
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Telephone | 805-482-0711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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