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General NPI Number Information
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NPI Number | 1265008213
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Entity Type | Organization
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Legal Business Name | ADONIS PARDO DO LLC
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Dates
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Enumeration Date | 06/01/2021
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Last Update Date | 06/01/2021
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Provider Practice Location Address
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Address Line | 2608 NW 97TH AVE
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City | DORAL
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State | FL
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Zip | 33172-1413
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Country | US
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Telephone | 305-614-4844
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Fax | 305-603-8614
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Provider Business Mailing Address
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Address Line | 2608 NW 97TH AVE
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City | DORAL
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State | FL
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Zip | 33172-1413
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Country | US
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Telephone | 305-614-4844
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Fax | 305-603-8614
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Authorized Official
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Title or Position | DO/OWNER
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Name | ADONIS R PARDO
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Credential | DO
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Telephone | 305-614-4844
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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