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General NPI Number Information
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NPI Number | 1295992782
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Entity Type | Organization
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Legal Business Name | DR HEIDY FIRPO PYSD PA
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 12/29/2008
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Provider Practice Location Address
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Address Line | 12525 ORANGE DR SUITE 706
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City | DAVIE
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State | FL
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Zip | 33330-4308
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Country | US
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Telephone | 195-485-4658
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Fax |
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Provider Business Mailing Address
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Address Line | 12525 ORANGE DR SUITE 706
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City | DAVIE
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State | FL
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Zip | 33330-4308
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Country | US
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Telephone | 195-485-4658
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. HEIDY FIRPO
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Credential | PYS.D.
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Telephone | 19548546582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | PY6983
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License Number State | FL
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