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General NPI Number Information
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NPI Number | 1528185659
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Entity Type | Organization
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Legal Business Name | JUSTARI HOLDINGS, INC.
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 8277 W SUNRISE BLVD
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City | PLANTATION
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State | FL
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Zip | 33322-5403
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Country | US
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Telephone | 954-474-0416
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Fax | 954-474-0693
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Provider Business Mailing Address
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Address Line | 8277 W SUNRISE BLVD
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City | PLANTATION
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State | FL
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Zip | 33322-5403
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Country | US
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Telephone | 954-474-0416
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Fax | 954-474-0693
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | MR. ROBERT A FELDMAN
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Credential | CPED
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Telephone | 954-474-0416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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