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General NPI Number Information
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NPI Number | 1801052006
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Entity Type | Individual
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Provider Name | HALEH TOUTOUNCHI DPM
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Gender | Female
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Dates
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Enumeration Date | 08/06/2008
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Last Update Date | 03/29/2011
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Provider Practice Location Address
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Address Line | 6650 RESEDA BLVD # 101A
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City | RESEDA
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State | CA
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Zip | 91335-5340
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Country | US
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Telephone | 818-220-7696
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Fax |
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Provider Business Mailing Address
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Address Line | 5602 SANDLE CREST CT
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City | HOUSTON
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State | TX
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Zip | 77041-6659
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Country | US
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Telephone | 818-220-7696
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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 | E4804
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License Number State | CA
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