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General NPI Number Information
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NPI Number | 1629065958
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Entity Type | Organization
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Legal Business Name | DIPLOMAT PODIATRY ASSOCIATES PA
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 100 N FEDERAL HWY SUITE 200
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4373
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Country | US
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Telephone | 954-456-8100
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Fax | 954-456-6248
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Provider Business Mailing Address
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Address Line | 100 N FEDERAL HWY SUITE 200
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4373
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Country | US
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Telephone | 954-456-8100
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Fax | 954-456-6248
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Authorized Official
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Title or Position | DPM/OWNER
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Name | RICHARD J RIMLER
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Credential | PO
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Telephone | 954-456-8100
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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 |
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License Number State |
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