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General NPI Number Information
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NPI Number | 1750700720
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Entity Type | Individual
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Provider Name | PAMELA HONG DPM
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Gender | Female
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Dates
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Enumeration Date | 04/07/2014
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Last Update Date | 11/30/2021
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Provider Practice Location Address
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Address Line | 4077 FIFTH AVE # MER35
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City | SAN DIEGO
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State | CA
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Zip | 92103-2105
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Country | US
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Telephone | 619-290-2213
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Fax |
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Provider Business Mailing Address
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Address Line | 4077 FIFTH AVE # MER35
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City | SAN DIEGO
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State | CA
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Zip | 92103-2105
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Country | US
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Telephone | 619-290-2213
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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 | EL6710
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License Number State | CA
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