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General NPI Number Information
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NPI Number | 1093763013
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Entity Type | Individual
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Provider Name | JOSEPH PULEO D.P.M
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 12/09/2010
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Provider Practice Location Address
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Address Line | 1744 NE 9TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-4443
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Country | US
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Telephone | 954-439-5704
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Fax |
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Provider Business Mailing Address
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Address Line | 730 NW 44TH TER #103
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-9280
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Country | US
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Telephone | 954-439-5704
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO2176
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License Number State | FL
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