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General NPI Number Information
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NPI Number | 1497080980
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Entity Type | Organization
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Legal Business Name | NATASHA D. MARSHALL, DPM, PODIATRY CORPORATION
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Dates
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Enumeration Date | 10/16/2009
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Last Update Date | 07/12/2012
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Provider Practice Location Address
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Address Line | 410 W CENTRAL AVE SUITE 204
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City | BREA
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State | CA
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Zip | 92821-3014
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Country | US
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Telephone | 714-990-4422
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Fax | 714-990-2855
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Provider Business Mailing Address
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Address Line | 410 W CENTRAL AVE SUITE 204
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City | BREA
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State | CA
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Zip | 92821-3014
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Country | US
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Telephone | 714-990-4422
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Fax | 714-990-2855
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. NATASHA MARSHALL
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Credential | DPM
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Telephone | 714-990-4422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | E4830
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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 | E4830
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License Number State | CA
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