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General NPI Number Information
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NPI Number | 1467947796
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Entity Type | Organization
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Legal Business Name | PALM BEACH PODIATRY, P.A.
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Dates
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Enumeration Date | 06/28/2018
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Last Update Date | 02/25/2019
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Provider Practice Location Address
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Address Line | 2051 45TH ST STE 201
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2029
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Country | US
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Telephone | 561-840-0491
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Fax |
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Provider Business Mailing Address
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Address Line | 2051 45TH ST STE 201
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2029
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Country | US
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Telephone | 561-840-0491
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARIEL LEPOFF
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Credential | DPM
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Telephone | 561-840-0491
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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 | PO3956
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License Number State | FL
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