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General NPI Number Information
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NPI Number | 1598023624
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Entity Type | Organization
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Legal Business Name | GISELLE OJEDA DPM PA
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Dates
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Enumeration Date | 04/26/2012
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Last Update Date | 04/26/2012
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Provider Practice Location Address
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Address Line | 6039 COLLINS AVE 311
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2203
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Country | US
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Telephone | 786-259-7408
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Fax |
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Provider Business Mailing Address
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Address Line | 6039 COLLINS AVE 311
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2203
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Country | US
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Telephone | 786-259-7408
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GISELLE OJEDA
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Credential | DPM
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Telephone | 786-259-7408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number | PO3532
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License Number State | FL
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