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General NPI Number Information
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NPI Number | 1619531548
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Entity Type | Individual
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Provider Name | STUARDO TRIGUEROS
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Gender | Male
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Dates
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Enumeration Date | 04/25/2019
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Last Update Date | 01/26/2025
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Provider Practice Location Address
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Address Line | 5601 DE SOTO AVE
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-6701
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Country | US
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Telephone | 818-719-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 4949 MARKET ST
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City | VENTURA
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State | CA
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Zip | 93003-7851
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Country | US
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Telephone | 888-249-2112
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | E5957
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License Number State | CA
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