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General NPI Number Information
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NPI Number | 1578213443
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Entity Type | Individual
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Provider Name | AMELIA BEZERRA MAGUIRE DPM
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Gender | Female
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Dates
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Enumeration Date | 03/24/2022
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 1121 N ROAD ST STE B
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-3470
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Country | US
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Telephone | 252-338-2111
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Fax | 252-338-2113
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Provider Business Mailing Address
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Address Line | 1121 N ROAD ST STE B
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-3470
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Country | US
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Telephone | 252-338-2111
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Fax | 252-338-2113
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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 | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 858
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License Number State | NC
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