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General NPI Number Information
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NPI Number | 1942432307
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Entity Type | Organization
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Legal Business Name | FOYGELMAN PODIATRIC CORPORATION
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Dates
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Enumeration Date | 08/19/2009
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 4712 EL CAJON BLVD STE D
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City | SAN DIEGO
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State | CA
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Zip | 92115-4557
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Country | US
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Telephone | 619-281-3338
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Fax |
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Provider Business Mailing Address
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Address Line | 4900 TARZANA WOODS DR
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City | TARZANA
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State | CA
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Zip | 91356-4429
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ALEKSANDR FOYGELMAN
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Credential | D.P.M.
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Telephone | 818-633-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | E4387
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License Number State | CA
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