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General NPI Number Information
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NPI Number | 1518240472
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Entity Type | Organization
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Legal Business Name | STEPHEN V. GUIDA, DPMPA
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Dates
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Enumeration Date | 09/27/2011
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Last Update Date | 11/24/2023
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Provider Practice Location Address
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Address Line | 4800 NE 20TH TER STE 209D
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City | FT LAUDERDALE
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State | FL
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Zip | 33308
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Country | US
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Telephone | 954-776-1612
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Fax | 954-776-1699
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Provider Business Mailing Address
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Address Line | 4800 NE 20TH TER STE 209D
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City | FT LAUDERDALE
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State | FL
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Zip | 33308
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Country | US
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Telephone | 954-776-1612
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Fax | 954-776-1699
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | VICKY F HARKINS
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Credential | RMC
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Telephone | 800-503-1375
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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 | PO2047
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License Number State | FL
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