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General NPI Number Information
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NPI Number | 1790960508
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Entity Type | Organization
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Legal Business Name | PENSACOLA PODIATRY, P.A.
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 6160 N DAVIS HWY STE 1
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City | PENSACOLA
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State | FL
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Zip | 32504-6967
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Country | US
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Telephone | 850-476-2805
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Fax | 850-476-3010
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Provider Business Mailing Address
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Address Line | 6160 N DAVIS HWY STE 1
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City | PENSACOLA
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State | FL
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Zip | 32504-6967
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Country | US
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Telephone | 850-476-2805
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Fax | 850-476-3010
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | VALERIE BURBANK
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Credential |
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Telephone | 850-476-2805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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