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General NPI Number Information
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NPI Number | 1992043624
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Entity Type | Organization
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Legal Business Name | C A STUDIO INC
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Dates
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Enumeration Date | 01/31/2013
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Last Update Date | 01/31/2013
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Provider Practice Location Address
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Address Line | 3022 E COMMERCIAL BLVD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4312
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Country | US
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Telephone | 954-489-3050
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Fax | 954-489-3926
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Provider Business Mailing Address
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Address Line | 3022 E COMMERCIAL BLVD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4312
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Country | US
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Telephone | 954-489-3050
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Fax | 954-489-3926
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHARLES M ALFIERI
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Credential |
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Telephone | 954-489-3050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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License Number State |
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