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General NPI Number Information
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NPI Number | 1972915080
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Entity Type | Organization
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Legal Business Name | KATE STEKLACHICH DPM CORP
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 05/22/2014
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Provider Practice Location Address
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Address Line | 201 SANDPOINTE AVE UNIT 135
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City | SANTA ANA
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State | CA
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Zip | 92707-5778
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Country | US
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Telephone | 714-546-0510
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Fax |
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Provider Business Mailing Address
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Address Line | 201 SANDPOINTE AVE UNIT 135
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City | SANTA ANA
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State | CA
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Zip | 92707-5778
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Country | US
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Telephone | 714-546-0510
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Fax |
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Authorized Official
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Title or Position | FOOT AND ANKLE SPECIALIST
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Name | DR. KATE JANEAN STEKLACHICH
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Credential | DPM
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Telephone | 714-546-0510
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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 | E5071
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License Number State | CA
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