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General NPI Number Information
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NPI Number | 1881187755
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Entity Type | Organization
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Legal Business Name | ERIC NAASZ, DPM INC
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Dates
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Enumeration Date | 06/14/2018
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Last Update Date | 06/14/2018
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Provider Practice Location Address
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Address Line | 704 N HARBOR BLVD
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City | FULLERTON
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State | CA
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Zip | 92832-1520
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Country | US
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Telephone | 714-525-0225
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Fax | 714-525-0140
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Provider Business Mailing Address
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Address Line | 704 N HARBOR BLVD
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City | FULLERTON
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State | CA
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Zip | 92832-1520
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Country | US
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Telephone | 714-525-0225
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Fax | 714-525-0140
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Authorized Official
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Title or Position | OWNER
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Name | ERIC BRIAN NAASZ
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Credential | DPM
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Telephone | 714-525-0225
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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 | E4907
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License Number State | CA
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