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General NPI Number Information
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NPI Number | 1568765915
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Entity Type | Organization
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Legal Business Name | FOOT & ANKLE PHYSICIANS & SURGEONS, PC
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Dates
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Enumeration Date | 12/07/2010
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Last Update Date | 07/08/2013
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Provider Practice Location Address
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Address Line | 17777 VENTURA BLVD 252
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City | ENCINO
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State | CA
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Zip | 91316-3736
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Country | US
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Telephone | 323-912-9220
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Fax | 323-206-5251
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Provider Business Mailing Address
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Address Line | 710 S MYRTLE AVE 105
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City | MONROVIA
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State | CA
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Zip | 91016-3423
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Country | US
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Telephone | 248-835-0121
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Fax | 323-206-5251
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Authorized Official
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Title or Position | OWNER
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Name | DR. MAJID SEYEDIN
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Credential | DPM
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Telephone | 323-912-9220
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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 | E4877
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License Number State | CA
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