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General NPI Number Information
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NPI Number | 1619145703
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Entity Type | Organization
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Legal Business Name | KAZAMIAS AND KAZAMIAS, PA
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 7512 COLONY LAKE DR
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-1308
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Country | US
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Telephone | 561-632-6781
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Fax |
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Provider Business Mailing Address
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Address Line | 7512 COLONY LAKE DR
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-1308
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Country | US
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Telephone | 954-205-3857
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Fax | 561-963-3988
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Authorized Official
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Title or Position | CEO
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Name | DR. MICHAEL KAZAMIAS
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Credential | DPM
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Telephone | 561-632-6781
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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 | PO2606
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License Number State | FL
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