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General NPI Number Information
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NPI Number | 1861722134
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Entity Type | Individual
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Provider Name | JONES HORMOZI DPM
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Gender | Male
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Dates
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Enumeration Date | 01/08/2010
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Last Update Date | 08/13/2019
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Provider Practice Location Address
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Address Line | 18840 VENTURA BLVD STE 211
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City | TARZANA
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State | CA
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Zip | 91356
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Country | US
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Telephone | 818-981-1900
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Fax | 866-254-5997
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Provider Business Mailing Address
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Address Line | 17412 VENTURA BLVD STE 31
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City | ENCINO
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State | CA
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Zip | 91316-3827
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Country | US
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Telephone | 818-981-1900
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Fax | 866-254-5997
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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 | E 4856
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License Number State | CA
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