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General NPI Number Information
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NPI Number | 1932200326
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Entity Type | Individual
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Provider Name | SHELDON ROSS D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 01/24/2011
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Provider Practice Location Address
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Address Line | 10109 W OAKLAND PARK BLVD
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City | SUNRISE
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State | FL
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Zip | 33351-6917
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Country | US
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Telephone | 954-748-9444
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Fax | 954-749-8712
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Provider Business Mailing Address
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Address Line | 10109 W OAKLAND PARK BLVD
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City | SUNRISE
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State | FL
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Zip | 33351-6917
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Country | US
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Telephone | 954-748-9444
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Fax | 954-749-8712
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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 | PO01131
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License Number State | FL
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