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General NPI Number Information
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NPI Number | 1760456420
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Entity Type | Individual
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Provider Name | FLAVIA A. INESTA DPM
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Gender | Female
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Dates
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Enumeration Date | 02/16/2006
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 1330 SW 22ND ST STE 311
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City | MIAMI
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State | FL
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Zip | 33145-2945
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Country | US
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Telephone | 786-828-7221
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Fax | 786-828-7131
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Provider Business Mailing Address
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Address Line | 360 SW 18TH TER
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City | MIAMI
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State | FL
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Zip | 33129-1019
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Country | US
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Telephone | 786-828-7221
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Fax | 786-828-7131
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | PO 2720
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License Number State | FL
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