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General NPI Number Information
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NPI Number | 1659432037
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Entity Type | Organization
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Legal Business Name | MICHAEL DEMNER, DPM, INC.
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 03/11/2008
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Provider Practice Location Address
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Address Line | 8787 BRYAN DAIRY RD STE.350
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City | LARGO
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State | FL
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Zip | 33777-1251
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Country | US
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Telephone | 727-391-1913
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Fax | 727-319-2713
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Provider Business Mailing Address
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Address Line | 8787 BRYAN DAIRY RD STE.350
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City | LARGO
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State | FL
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Zip | 33777-1251
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Country | US
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Telephone | 727-391-1913
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Fax | 727-319-2713
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Authorized Official
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Title or Position | OFFICE MGR
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Name | MS. LYNN G KENNEDY
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Credential |
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Telephone | 727-391-1913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO1338
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License Number State | FL
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