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General NPI Number Information
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NPI Number | 1285812511
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Entity Type | Organization
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Legal Business Name | SCOTT D KAZDAN DO PA
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Dates
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Enumeration Date | 02/08/2008
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Last Update Date | 12/09/2010
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Provider Practice Location Address
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Address Line | 601 N FLAMINGO ROAD SUITE 209
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City | PEMBROKE PINES
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State | FL
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Zip | 33028
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Country | US
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Telephone | 954-442-7616
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Fax | 954-442-6234
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Provider Business Mailing Address
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Address Line | PO BOX 266828
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City | WESTON
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State | FL
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Zip | 33328
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Country | US
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Telephone | 954-442-7616
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Fax | 954-442-6234
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT D KAZDAN
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Credential | DO
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Telephone | 954-442-7616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | OS0006354
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License Number State | FL
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