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General NPI Number Information
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NPI Number | 1003881210
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Entity Type | Organization
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Legal Business Name | AM RYWLIN MD AND ASSOC PA
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 09/16/2019
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Provider Practice Location Address
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Address Line | 4300 ALTON RD
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2800
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Country | US
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Telephone | 305-674-2277
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Fax | 305-674-2999
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Provider Business Mailing Address
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Address Line | PO BOX 3093
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City | BOCA RATON
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State | FL
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Zip | 33431-0993
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Country | US
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Telephone | 305-674-2277
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Fax | 305-674-2999
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | ROBERT POPPITI
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Credential | M.D.
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Telephone | 305-674-2277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | ME39621
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number | ME39621
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | ME39621
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License Number State | FL
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