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General NPI Number Information
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NPI Number | 1538597174
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Entity Type | Organization
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Legal Business Name | VIKRAM THAKAR DPM PA
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Dates
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Enumeration Date | 10/16/2013
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Last Update Date | 10/16/2013
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Provider Practice Location Address
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Address Line | 1724 E HALLANDALE BEACH BLVD
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4611
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Country | US
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Telephone | 954-454-9091
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Fax |
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Provider Business Mailing Address
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Address Line | 1440 BRICKELL BAY DR APT 603
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City | MIAMI
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State | FL
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Zip | 33131-3620
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Country | US
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Telephone | 954-303-1779
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Fax |
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Authorized Official
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Title or Position | OWNER ORGANIZATION
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Name | DR. VIKRAM THAKAR
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Credential | DPM
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Telephone | 954-303-1779
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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 | PO 3557
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License Number State | FL
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