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General NPI Number Information
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NPI Number | 1689744666
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Entity Type | Organization
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Legal Business Name | WEST COAST FOOT AND ANKLE PODIATRIC MEDICAL ASSOCIATES INC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1760 TERMINO AVE 309
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City | LONG BEACH
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State | CA
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Zip | 90804-2105
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Country | US
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Telephone | 562-986-6886
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Fax |
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Provider Business Mailing Address
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Address Line | 1760 TERMINO AVE 309
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City | LONG BEACH
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State | CA
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Zip | 90804-2105
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Country | US
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Telephone | 562-986-6886
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TROY R LEAMING
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Credential | D.P.M.
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Telephone | 562-986-6886
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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 | E4395
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License Number State | CA
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