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General NPI Number Information
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NPI Number | 1619904851
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Entity Type | Organization
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Legal Business Name | HAPPY FOOTS OF MIAMI
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 09/18/2009
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Provider Practice Location Address
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Address Line | 760 PONCE DE LEON BLVD SUITE 107
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City | CORAL GABLES
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State | FL
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Zip | 33134-2075
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Country | US
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Telephone | 305-445-3372
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Fax | 305-445-3359
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Provider Business Mailing Address
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Address Line | 760 PONCE DE LEON BLVD SUITE 107
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City | CORAL GABLES
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State | FL
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Zip | 33134-2075
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Country | US
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Telephone | 305-445-3372
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Fax | 305-445-3359
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Authorized Official
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Title or Position | PRESIDENT
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Name | PILAR C RODRIGUEZ
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Credential | DPM
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Telephone | 305-445-3372
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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 | POL2683
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License Number State | FL
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