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General NPI Number Information
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NPI Number | 1881089985
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Entity Type | Individual
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Provider Name | POLLYANNA REEVES DPM
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Gender | Female
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Dates
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Enumeration Date | 04/06/2015
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Last Update Date | 06/13/2024
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Provider Practice Location Address
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Address Line | 6705 SW 57TH AVE STE 312
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3638
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Country | US
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Telephone | 305-670-8411
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Fax | 305-670-8412
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Provider Business Mailing Address
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Address Line | 6705 SW 57TH AVE STE 312
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3638
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Country | US
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Telephone | 305-251-2552
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Fax | 305-252-7768
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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 | PO3937
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License Number State | FL
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