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General NPI Number Information
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NPI Number | 1669539672
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Entity Type | Organization
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Legal Business Name | ARCADIA FOOT CLINIC INC
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 25 N SANTA ANITA STE J
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City | ARCADIA
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State | CA
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Zip | 91006-3166
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Country | US
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Telephone | 626-574-7400
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Fax | 626-574-7559
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Provider Business Mailing Address
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Address Line | 25 N SANTA ANITA STE J
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City | ARCADIA
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State | CA
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Zip | 91006-3166
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Country | US
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Telephone | 626-574-7400
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Fax | 626-574-7559
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Authorized Official
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Title or Position | DOCTOR
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Name | NUBER ANTRANIK ORNEKIAN
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Credential | DPM
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Telephone | 626-574-7400
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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 | E2979
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E2857
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License Number State | CA
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