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General NPI Number Information
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NPI Number | 1932111879
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Entity Type | Individual
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Provider Name | JAMES E TEELA DPM
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Gender | Male
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 110 NEW STINE RD
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City | BAKERSFIELD
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State | CA
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Zip | 93309-2605
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Country | US
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Telephone | 661-832-1667
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Fax | 661-832-2039
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Provider Business Mailing Address
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Address Line | 110 NEW STINE RD
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City | BAKERSFIELD
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State | CA
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Zip | 93309-2605
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Country | US
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Telephone | 661-832-1667
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Fax | 661-832-2039
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 2006039218
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 12-00378
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E-5178
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E5178
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License Number State | CA
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