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General NPI Number Information
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NPI Number | 1013990803
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Entity Type | Individual
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Provider Name | ELROY ALBERT KALME LOPEZ D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 11/25/2005
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Last Update Date | 08/28/2014
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Provider Practice Location Address
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Address Line | 1227 SW 3RD AVE APT 504
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City | MIAMI
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State | FL
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Zip | 33130-4271
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Country | US
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Telephone | 786-531-6800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 430814
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City | MIAMI
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State | FL
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Zip | 33243-0814
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Country | US
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Telephone | 786-531-6800
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Fax |
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO-0002589
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License Number State | FL
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