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General NPI Number Information
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NPI Number | 1437227873
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Entity Type | Organization
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Legal Business Name | BOB ALAVY DPM INC
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Dates
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Enumeration Date | 12/02/2006
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Last Update Date | 06/03/2008
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Provider Practice Location Address
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Address Line | 741 S ORANGE AVE
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City | WEST COVINA
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State | CA
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Zip | 91790-2662
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Country | US
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Telephone | 626-338-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 269 S BEVERLY DR # 668
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-3851
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Country | US
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Telephone | 626-338-1800
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Fax | 626-338-3720
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Authorized Official
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Title or Position | CEO
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Name | DR. BABAK ALAVYNEJAD
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Credential | DPM
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Telephone | 626-338-1800
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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 | E3996
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License Number State | CA
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