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General NPI Number Information
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NPI Number | 1891166773
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Entity Type | Organization
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Legal Business Name | COLLEEN DZIKOWSKI DPM LLC
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Dates
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Enumeration Date | 10/17/2015
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Last Update Date | 10/17/2015
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Provider Practice Location Address
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Address Line | 5800 COLONIAL DR STE 203
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City | MARGATE
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State | FL
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Zip | 33063-5674
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Country | US
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Telephone | 954-297-8267
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Fax | 954-337-0849
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Provider Business Mailing Address
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Address Line | 5800 COLONIAL DR STE 203
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City | MARGATE
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State | FL
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Zip | 33063-5674
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Country | US
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Telephone | 954-297-8267
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Fax | 954-337-0849
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. COLLEEN DZIKOWSKI
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Credential | DPM
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Telephone | 954-684-5716
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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 | P02529
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License Number State | FL
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