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General NPI Number Information
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NPI Number | 1881874188
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Entity Type | Organization
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Legal Business Name | DARREN PAYNE, DPM, INC.
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 11/05/2007
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Provider Practice Location Address
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Address Line | 28240 AGOURA RD STE 101
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City | AGOURA HILLS
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State | CA
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Zip | 91301-2468
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Country | US
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Telephone | 818-707-3668
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Fax | 818-707-0622
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Provider Business Mailing Address
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Address Line | 28240 AGOURA RD STE 101
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City | AGOURA HILLS
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State | CA
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Zip | 91301-2468
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Country | US
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Telephone | 818-707-3668
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Fax | 818-707-0622
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Authorized Official
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Title or Position | OWNER
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Name | DR. DARREN PAYNE
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Credential | DPM
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Telephone | 818-707-3668
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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 | E4294
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License Number State | CA
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