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General NPI Number Information
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NPI Number | 1649662362
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Entity Type | Organization
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Legal Business Name | HALLUX CORPORATION
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Dates
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Enumeration Date | 03/04/2015
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 7480 BIRD RD STE 550
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City | MIAMI
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State | FL
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Zip | 33155-6656
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Country | US
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Telephone | 786-322-3111
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Fax | 305-642-1298
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Provider Business Mailing Address
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Address Line | 7701 SW 180TH TER
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City | PALMETTO BAY
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State | FL
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Zip | 33157-6218
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Country | US
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Telephone | 786-531-9780
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Fax | 305-642-1298
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Authorized Official
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Title or Position | OWNER
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Name | VALERIE VALDIVIESO-DIAZ
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Credential | DPM
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Telephone | 867-531-9780
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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 | PO 3419
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License Number State | FL
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