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General NPI Number Information
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NPI Number | 1730596818
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Entity Type | Organization
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Legal Business Name | AGIM GASHI DPM INC
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Dates
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Enumeration Date | 07/21/2014
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Last Update Date | 07/21/2014
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Provider Practice Location Address
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Address Line | 4560 ADMIRALTY WAY SUITE 351
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City | MARINA DEL REY
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State | CA
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Zip | 90292-5423
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Country | US
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Telephone | 310-822-3572
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Fax | 310-822-0312
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Provider Business Mailing Address
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Address Line | 4560 ADMIRALTY WAY SUITE 351
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City | MARINA DEL REY
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State | CA
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Zip | 90292-5423
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Country | US
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Telephone | 310-822-3572
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Fax | 310-822-0312
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Authorized Official
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Title or Position | PRESIDENT
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Name | AGIM GASHI
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Credential | DPM
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Telephone | 310-822-3572
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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 |
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License Number State |
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