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General NPI Number Information
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NPI Number | 1346208212
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Entity Type | Individual
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Provider Name | RONALD TERRY HADAM DPM
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Gender | Male
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 06/25/2014
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Provider Practice Location Address
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Address Line | 4207 59TH STREET W
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City | BRADENTON
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State | FL
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Zip | 34209-6663
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Country | US
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Telephone | 941-792-8184
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Fax | 941-795-4892
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Provider Business Mailing Address
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Address Line | 2835 W DE LEON ST SUITE 101
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City | TAMPA
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State | FL
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Zip | 33609-5518
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Country | US
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Telephone | 813-254-4747
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Fax | 941-795-4892
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PO1502
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License Number State | FL
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