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General NPI Number Information
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NPI Number | 1972854958
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Entity Type | Individual
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Provider Name | OKSANA BUTTITA D.P.M
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Gender | Female
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Dates
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Enumeration Date | 10/01/2012
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Last Update Date | 09/13/2019
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Provider Practice Location Address
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Address Line | 2500 E HALLANDALE BEACH BLVD STE 203
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4858
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Country | US
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Telephone | 305-814-5514
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Fax | 305-731-2442
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Provider Business Mailing Address
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Address Line | 2500 E HALLANDALE BEACH BLVD SUITE # 203
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4834
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Country | US
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Telephone | 305-814-5514
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Fax |
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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 | PO3559
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO 3559
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License Number State | FL
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