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General NPI Number Information
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NPI Number | 1114335874
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Entity Type | Individual
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Provider Name | IOURI BOIKO
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Gender | Male
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Dates
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Enumeration Date | 07/25/2014
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Last Update Date | 01/08/2015
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Provider Practice Location Address
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Address Line | 5301 SW 31 AVE
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City | FT.LAUDERDALE
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State | FL
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Zip | 33312
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Country | US
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Telephone | 954-805-8845
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Fax |
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Provider Business Mailing Address
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Address Line | 2110 N 26TH AVE
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City | HOLLYWOOD
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State | FL
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Zip | 33020-1913
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Country | US
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Telephone | 954-774-0950
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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 | 207ZF0201X
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Taxonomy Name | Forensic Pathology Physician
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License Number | ME100736
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License Number State | FL
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