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General NPI Number Information
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NPI Number | 1780627141
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Entity Type | Individual
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Provider Name | STEVE MINH ENG DPM
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 08/12/2015
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Provider Practice Location Address
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Address Line | 18111 BROOKHURST ST # 3400 #3400
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-6728
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Country | US
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Telephone | 714-861-4630
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Fax | 714-861-4631
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Provider Business Mailing Address
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Address Line | PO BOX 9093
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92728-9093
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Country | US
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Telephone | 714-843-3203
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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 | E4394
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License Number State | CA
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