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General NPI Number Information
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NPI Number | 1679511174
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Entity Type | Individual
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Provider Name | SOPHIA ESTHER DEBEN MD
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Gender | Female
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 06/26/2014
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Provider Practice Location Address
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Address Line | 20601 E. DIXIE HWY ORTHOPAEDIC SPECIALISTS OF MIAMI BEACH
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City | AVENTURA
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State | FL
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Zip | 33180
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Country | US
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Telephone | 786-923-3000
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Fax | 786-565-9446
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Provider Business Mailing Address
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Address Line | 20604 E. DIXIE HWY ORTHOPAEDIC SPECIALISTS OF MIAMI BEACH
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City | AVENTURA
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State | FL
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Zip | 33180
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Country | US
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Telephone | 786-923-3000
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Fax | 786-565-9446
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | C55008
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | ME100477
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 200701541
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License Number State | NC
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