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General NPI Number Information
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NPI Number | 1134585524
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Entity Type | Organization
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Legal Business Name | DOKITA247 PA COM INC
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Dates
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Enumeration Date | 01/14/2016
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Last Update Date | 01/14/2016
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Provider Practice Location Address
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Address Line | 540 E MCNAB RD SUITE C
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City | POMPANO BEACH
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State | FL
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Zip | 33060-9354
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Country | US
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Telephone | 844-365-4822
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Fax | 844-365-4822
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Provider Business Mailing Address
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Address Line | 540 E MCNAB RD SUITE C
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City | POMPANO BEACH
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State | FL
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Zip | 33060-9354
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Country | US
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Telephone | 844-365-4822
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Fax | 844-365-4822
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | DR. RICHARDS A AFONJA
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Credential | MD
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Telephone | 844-365-4822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 25MA06112700
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License Number State | NJ
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