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General NPI Number Information
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NPI Number | 1336277730
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Entity Type | Individual
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Provider Name | ALANNA L WARGULA DPM
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Gender | Female
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 04/13/2018
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Provider Practice Location Address
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Address Line | 1255 N DUTTON AVE
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City | SANTA ROSA
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State | CA
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Zip | 95401-4663
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Country | US
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Telephone | 707-596-2660
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Fax | 707-263-5576
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Provider Business Mailing Address
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Address Line | 175 PARK ST
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City | LAKEPORT
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State | CA
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Zip | 95453-4803
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Country | US
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Telephone | 707-263-9595
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Fax | 707-263-5576
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E4707
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E4707
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License Number State | CA
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