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General NPI Number Information
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NPI Number | 1730676958
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Entity Type | Organization
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Legal Business Name | CLAIRE E. FUTENMA, DPM, INC.
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Dates
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Enumeration Date | 04/13/2018
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Last Update Date | 04/13/2018
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Provider Practice Location Address
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Address Line | 131 N EL MOLINO AVE STE 230
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City | PASADENA
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State | CA
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Zip | 91101-1877
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Country | US
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Telephone | 626-788-6651
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Fax |
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Provider Business Mailing Address
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Address Line | 131 N EL MOLINO AVE STE 230
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City | PASADENA
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State | CA
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Zip | 91101-1877
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Country | US
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Telephone | 626-788-6651
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Fax |
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Authorized Official
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Title or Position | PODIATRIST
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Name | CLAIRE FUTENMA
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Credential |
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Telephone | 626-788-6651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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