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General NPI Number Information
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NPI Number | 1831367465
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Entity Type | Individual
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Provider Name | VIRGINIO VENA DPM
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Gender | Male
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Dates
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Enumeration Date | 02/17/2008
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Last Update Date | 02/17/2008
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Provider Practice Location Address
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Address Line | 651 W INDIANTOWN RD STE K
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City | JUPITER
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State | FL
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Zip | 33458-7557
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Country | US
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Telephone | 561-741-4900
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Fax | 561-741-4918
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Provider Business Mailing Address
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Address Line | 651 W INDIANTOWN RD STE K
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City | JUPITER
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State | FL
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Zip | 33458-7557
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Country | US
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Telephone | 561-741-4900
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Fax | 561-741-4918
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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 | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | PO2828
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO2828
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License Number State | FL
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