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General NPI Number Information
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NPI Number | 1952391450
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Entity Type | Individual
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Provider Name | WILLIAM A TARRAN DPM
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Gender | Male
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 06/18/2019
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Provider Practice Location Address
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Address Line | 1216 SEVILLE DR
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City | PACIFICA
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State | CA
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Zip | 94044-3554
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Country | US
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Telephone | 650-245-5745
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Fax | 650-738-2455
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Provider Business Mailing Address
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Address Line | 901 CAMPUS DR STE 311
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City | DALY CITY
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State | CA
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Zip | 94015-4900
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Country | US
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Telephone | 650-757-3338
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Fax | 650-756-7769
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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 | E36230
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License Number State | CA
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