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General NPI Number Information
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NPI Number | 1912329202
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Entity Type | Organization
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Legal Business Name | ALLCARE FOOT AND ANKLE CLINIC
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Dates
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Enumeration Date | 01/06/2014
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Last Update Date | 06/13/2014
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Provider Practice Location Address
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Address Line | 7350 W CHEYENNE AVE SUITE 110
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City | LAS VEGAS
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State | NV
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Zip | 89129-7445
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Country | US
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Telephone | 702-522-7731
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Fax | 702-522-7832
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Provider Business Mailing Address
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Address Line | PO BOX 370515
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City | LAS VEGAS
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State | NV
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Zip | 89137-0515
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Country | US
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Telephone | 702-522-7731
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Fax | 702-522-7832
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Authorized Official
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Title or Position | OWNER
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Name | DR. EUNAH HONG
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Credential | DPM
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Telephone | 710-522-7731
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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 | 1207
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License Number State | NV
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