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General NPI Number Information
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NPI Number | 1548255417
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Entity Type | Individual
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Provider Name | DEMETRIOS M. LIAROS M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/15/2005
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Last Update Date | 03/22/2021
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Provider Practice Location Address
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Address Line | 620 10TH STREET N.
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City | ST PETERSBURG
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State | FL
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Zip | 33705-1407
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Country | US
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Telephone | 727-824-8227
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Fax | 727-824-8381
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Provider Business Mailing Address
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Address Line | 2995 DREW ST FL 2
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City | CLEARWATER
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State | FL
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Zip | 33759-3012
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Country | US
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Telephone | 727-532-1355
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Fax | 813-635-2613
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PO2205
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License Number State | FL
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