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General NPI Number Information
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NPI Number | 1699827774
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Entity Type | Organization
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Legal Business Name | LARRY J. SLOMOWITZ A PODIATRY CORP.
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 02/18/2011
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Provider Practice Location Address
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Address Line | 1240 S WESTLAKE BLVD SUITE 129
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-1929
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Country | US
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Telephone | 818-991-4741
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Fax | 805-494-8384
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Provider Business Mailing Address
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Address Line | 1240 S WESTLAKE BLVD SUITE 129
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-1929
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Country | US
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Telephone | 818-991-4741
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Fax | 805-494-8384
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Authorized Official
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Title or Position | PRESIDENTTREASURER
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Name | DR. LARRY J. SLOMOWITZ
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Credential | D.P.M.
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Telephone | 818-991-4741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | E1746
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License Number State | CA
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