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General NPI Number Information
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NPI Number | 1639293806
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Entity Type | Organization
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Legal Business Name | AESTHETIC AND FAMILY PODIATRY CENTER
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5537 MARQUESAS CIR
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City | SARASOTA
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State | FL
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Zip | 34233-3332
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Country | US
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Telephone | 941-379-8292
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Fax |
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Provider Business Mailing Address
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Address Line | 5537 MARQUESAS CIR
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City | SARASOTA
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State | FL
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Zip | 34233-3332
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Country | US
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Telephone | 941-379-8292
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISA NORMAN KLEMEYER
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Credential |
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Telephone | 941-379-8292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PO2777
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | PO2777
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License Number State | FL
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