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General NPI Number Information
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NPI Number | 1285973065
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Entity Type | Organization
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Legal Business Name | ANKLE & FOOT SPECIALIST OF DADE COUNTY, INC.
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Dates
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Enumeration Date | 02/13/2013
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Last Update Date | 02/13/2013
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Provider Practice Location Address
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Address Line | 7975 NW 154TH ST STE 390
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City | MIAMI LAKES
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State | FL
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Zip | 33016-5867
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Country | US
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Telephone | 305-825-5633
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Fax | 305-825-5521
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Provider Business Mailing Address
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Address Line | 7975 NW 154TH ST STE 390
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City | MIAMI LAKES
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State | FL
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Zip | 33016-5867
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Country | US
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Telephone | 305-825-5633
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Fax | 305-825-5521
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Authorized Official
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Title or Position | PHYSICIAN / PRESIDENT
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Name | DR. OSCAR BARRETO
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Credential | D.P.M.
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Telephone | 305-825-5633
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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 | PO-0002377
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License Number State | FL
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