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General NPI Number Information
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NPI Number | 1710361811
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Entity Type | Organization
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Legal Business Name | DR. JOHN C. NORDT,III,M.D.
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Dates
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Enumeration Date | 07/17/2015
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Last Update Date | 07/22/2015
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Provider Practice Location Address
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Address Line | 4720 LEJEUNE ROAD
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City | CORAL GABLES
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State | FL
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Zip | 33146-1817
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Country | US
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Telephone | 305-662-2851
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Fax |
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Provider Business Mailing Address
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Address Line | 4720 LEJEUNE ROAD
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City | CORAL GABLES
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State | FL
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Zip | 33146
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Country | US
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Telephone | 305-662-2851
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LESLIE CASTRO
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Credential |
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Telephone | 305-662-2851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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