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General NPI Number Information
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NPI Number | 1811308760
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Entity Type | Organization
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Legal Business Name | TOTAL CARE PODIATRY PLLC
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Dates
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Enumeration Date | 05/14/2014
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Last Update Date | 05/14/2014
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Provider Practice Location Address
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Address Line | 1671 SW 120TH AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-3788
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Country | US
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Telephone | 954-369-1806
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Fax |
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Provider Business Mailing Address
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Address Line | 1671 SW 120TH AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-3788
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Country | US
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Telephone | 954-369-1806
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. SHANIKA L HILL
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Credential | DPM
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Telephone | 954-369-1806
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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 | PO3440
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License Number State | FL
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