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General NPI Number Information
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NPI Number | 1750120382
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Entity Type | Organization
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Legal Business Name | REGEL FOOT AND ANKLE ASSOCIATES INCORPORATED
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 12826 VICTORY BLVD
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-3065
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Country | US
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Telephone | 310-422-6424
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Fax | 310-595-5962
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Provider Business Mailing Address
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Address Line | 3126 S SEPULVEDA BLVD STE 304
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City | LOS ANGELES
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State | CA
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Zip | 90034-4236
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Country | US
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Telephone | 310-422-6424
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Fax | 310-595-5962
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JONATHAN J PIRAK
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Credential | DPM
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Telephone | 310-422-6424
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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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