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General NPI Number Information
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NPI Number | 1205369766
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Entity Type | Organization
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Legal Business Name | LUXEPODIATRY PALM BEACH PLLC
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 11000 PROSPERITY FARMS RD STE 102
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-3462
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Country | US
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Telephone | 561-619-3557
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Fax | 561-619-3748
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Provider Business Mailing Address
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Address Line | 11000 PROSPERITY FARMS RD STE 102
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-3462
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Country | US
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Telephone | 561-619-3557
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Fax | 561-619-3748
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Authorized Official
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Title or Position | OWNER
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Name | DR. SUZANNE FUCHS
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Credential | M.D.
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Telephone | 561-619-3557
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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 |
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License Number State |
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