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General NPI Number Information
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NPI Number | 1487246906
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Entity Type | Organization
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Legal Business Name | NEDA ARJOMANDI PODIATRY INC
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Dates
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Enumeration Date | 02/05/2021
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Last Update Date | 04/20/2021
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Provider Practice Location Address
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Address Line | 24022 CALLE DE LA PLATA STE 410
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-3629
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Country | US
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Telephone | 949-581-2520
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Fax | 949-581-7467
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Provider Business Mailing Address
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Address Line | 24022 CALLE DE LA PLATA STE 410
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-3629
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Country | US
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Telephone | 949-581-2520
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Fax | 949-581-7467
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Authorized Official
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Title or Position | OWNER
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Name | NEDA ARJOMANDI
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Credential | DPM
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Telephone | 703-505-5981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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