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General NPI Number Information
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NPI Number | 1710672217
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Entity Type | Organization
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Legal Business Name | SOLEFUL PODIATRY
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 23326 HAWTHORNE BLVD # 195
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City | TORRANCE
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State | CA
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Zip | 90505-3725
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Country | US
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Telephone | 310-300-7977
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 E OCEAN BLVD UNIT 403
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City | LONG BEACH
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State | CA
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Zip | 90802-6147
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Country | US
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Telephone | 626-456-0116
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Fax |
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Authorized Official
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Title or Position | OWNER OF THE GROUP
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Name | DR. JEFFREY TSENG
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Credential | DPM
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Telephone | 626-456-0116
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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 |
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License Number State |
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