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General NPI Number Information
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NPI Number | 1750563870
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Entity Type | Organization
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Legal Business Name | DR STEVEN A BROTSKY DPM PA
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 09/27/2010
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Provider Practice Location Address
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Address Line | 2500 E HALLANDALE BEACH BLVD SUITE L
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4834
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Country | US
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Telephone | 954-457-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 E HALLANDALE BEACH BLVD SUITE L
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4834
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Country | US
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Telephone | 954-457-7400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN A BROTSKY
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Credential | DPM
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Telephone | 954-457-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | PO1362
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License Number State | FL
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