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General NPI Number Information
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NPI Number | 1649070780
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Entity Type | Organization
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Legal Business Name | FAMILY CARE PODIATRY
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 2250 HAYES ST STE 612
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-1078
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Country | US
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Telephone | 415-412-4121
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Fax | 754-218-0785
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Provider Business Mailing Address
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Address Line | 121 STOUT
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City | HERCULES
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State | CA
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Zip | 94547-3716
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Country | US
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Telephone | 415-412-4121
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ULYANA SHIKALOFF
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Credential | DPM
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Telephone | 415-412-4121
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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 |
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License Number State |
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