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General NPI Number Information
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NPI Number | 1427685395
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Entity Type | Individual
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Provider Name | GIA-CAT PHAM DPM
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Gender | Male
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 2114 MCKEE RD
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City | SAN JOSE
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State | CA
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Zip | 95116-1427
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Country | US
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Telephone | 408-272-2211
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Fax | 408-272-2179
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Provider Business Mailing Address
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Address Line | 20130 LAKE CHABOT RD STE 202
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5340
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Country | US
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Telephone | 510-581-1484
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Fax | 510-581-7779
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E5971
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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 | E5971
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License Number State | CA
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