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General NPI Number Information
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NPI Number | 1457403594
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Entity Type | Organization
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Legal Business Name | YANIRA M BERMUDEZ DPM PA
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 08/10/2021
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Provider Practice Location Address
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Address Line | 5353 ATLANTIC AVE STE 401
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City | DELRAY BEACH
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State | FL
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Zip | 33484-8173
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Country | US
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Telephone | 561-284-8323
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Fax | 561-284-8324
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Provider Business Mailing Address
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Address Line | 5353 W ATLANTIC AVE STE 401
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City | MIAMI
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State | FL
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Zip | 33484-8173
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Country | US
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Telephone | 305-801-8689
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YANIRA M BERMUDEZ
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Credential | DPM
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Telephone | 305-801-8689
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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 | PO2851
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License Number State | FL
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