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General NPI Number Information
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NPI Number | 1851680565
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Entity Type | Individual
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Provider Name | DAVID AUGUSTE DPM
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Gender | Male
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Dates
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Enumeration Date | 04/04/2011
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Last Update Date | 10/08/2015
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Provider Practice Location Address
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Address Line | 232 BULLARD PKWY
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-5512
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Country | US
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Telephone | 813-985-2811
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Fax | 813-985-3045
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Provider Business Mailing Address
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Address Line | 232 BULLARD PKWY
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-5512
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Country | US
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Telephone | 813-985-2811
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Fax | 813-985-3045
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO 3692
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | PO 3692
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License Number State | FL
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