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General NPI Number Information
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NPI Number | 1275519845
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Entity Type | Individual
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Provider Name | JEFF ANGAROLA DPM
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Gender | Male
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 03/05/2020
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Provider Practice Location Address
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Address Line | 30300 RANCHO VIEJO RD
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-1576
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Country | US
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Telephone | 949-661-9600
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Fax | 949-443-6200
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Provider Business Mailing Address
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Address Line | 3828 SCHAUFELE AVE STE 200
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City | LONG BEACH
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State | CA
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Zip | 90808-1793
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Country | US
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Telephone | 714-665-1600
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | E3437
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License Number State | CA
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