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General NPI Number Information
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NPI Number | 1457394637
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Entity Type | Organization
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Legal Business Name | JOSEPH M. CORTEZ, D.P.M., INC
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 21911 DEVONSHIRE ST STE 350
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City | CHATSWORTH
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State | CA
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Zip | 91311-2908
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Country | US
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Telephone | 818-993-8675
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Fax | 805-522-9779
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Provider Business Mailing Address
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Address Line | 2443 POCOMOKE CT
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City | SIMI VALLEY
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State | CA
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Zip | 93065-5803
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Country | US
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Telephone | 805-522-9779
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Fax | 805-522-9779
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. JOSEPH MICHAEL CORTEZ
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Credential | DPM
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Telephone | 805-522-9779
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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 | E3956
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License Number State | CA
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