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General NPI Number Information
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NPI Number | 1720347222
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Entity Type | Individual
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Provider Name | NEDA ARJOMANDI DPM
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Gender | Female
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Dates
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Enumeration Date | 05/03/2012
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Last Update Date | 09/07/2018
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Provider Practice Location Address
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Address Line | 1881 CALIFORNIA AVE STE 102
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City | CORONA
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State | CA
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Zip | 92881
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Country | US
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Telephone | 951-735-8806
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Fax |
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Provider Business Mailing Address
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Address Line | 10 ALTEZZA DR
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City | MISSION VIEJO
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State | CA
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Zip | 92692-5107
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Country | US
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Telephone | 703-505-5981
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | E5165
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License Number State | CA
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