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General NPI Number Information
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NPI Number | 1104181296
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Entity Type | Organization
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Legal Business Name | PATRICIA BEDOYA, DPM, PA
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Dates
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Enumeration Date | 07/05/2012
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Last Update Date | 09/23/2013
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Provider Practice Location Address
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Address Line | 4895 WINDWARD PASSAGE DR SUITE 7
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-7741
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Country | US
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Telephone | 561-369-4455
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Fax |
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Provider Business Mailing Address
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Address Line | 4895 WINDWARD PASSAGE DR SUITE 7
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-7741
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Country | US
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Telephone | 561-369-4455
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Fax |
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Authorized Official
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Title or Position | PODIATRIST/OWNER
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Name | DR. PATRICIA BEDOYA
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Credential | DPM
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Telephone | 305-369-4455
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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 | PO3458
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License Number State | FL
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