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General NPI Number Information
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NPI Number | 1891973574
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Entity Type | Organization
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Legal Business Name | DOUGLAS L DEMAR DPM PA
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 1406 16TH ST
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City | VERO BEACH
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State | FL
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Zip | 32960-3625
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Country | US
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Telephone | 772-567-7430
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Fax |
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Provider Business Mailing Address
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Address Line | 1406 16TH ST
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City | VERO BEACH
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State | FL
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Zip | 32960-3625
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DOUGLAS L. DEMAR
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Credential | DPM
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Telephone | 772-567-7430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number |
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License Number State |
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