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General NPI Number Information
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NPI Number | 1679703631
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Entity Type | Organization
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Legal Business Name | KAMI LALJI, D.P.M.,P.A.
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Dates
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Enumeration Date | 07/23/2009
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Last Update Date | 05/19/2010
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Provider Practice Location Address
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Address Line | 2330 NE 53RD ST
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City | FT. LAUDERDALE
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State | FL
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Zip | 33308-3212
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Country | US
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Telephone | 954-772-5380
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Fax |
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Provider Business Mailing Address
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Address Line | 2330 NE 53RD ST
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City | FT. LAUDERDALE
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State | FL
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Zip | 33308-3212
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Country | US
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Telephone | 954-772-5380
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. KAMI LALJI
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Credential | D.P.M
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Telephone | 954-772-5380
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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 | PO3249
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License Number State | FL
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