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General NPI Number Information
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NPI Number | 1417035486
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Entity Type | Organization
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Legal Business Name | HSU-TI HUANG DPM INC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 01/04/2010
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Provider Practice Location Address
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Address Line | 933 S SUNSET AVE STE 202
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City | WEST COVINA
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State | CA
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Zip | 91790-3410
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Country | US
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Telephone | 626-813-6630
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Fax | 626-813-3539
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Provider Business Mailing Address
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Address Line | 933 S SUNSET AVE STE 202
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City | WEST COVINA
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State | CA
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Zip | 91790-3410
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Country | US
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Telephone | 626-813-6630
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Fax | 626-813-3539
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Authorized Official
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Title or Position | PRESIDENT
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Name | HSU-TI HUANG
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Credential | D.P.M.
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Telephone | 626-813-6630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 5468710001
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License Number State | CA
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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 | E4535
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License Number State | CA
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