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General NPI Number Information
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NPI Number | 1205377587
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Entity Type | Organization
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Legal Business Name | OBGYN SPECIALISTS OF THE PALM BEACHES PA
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 09/25/2017
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Provider Practice Location Address
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Address Line | 901 NORTHPOINT PKWY SUITE 400
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-1951
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Country | US
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Telephone | 561-623-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 770 NORTHPOINT PARKWAY SUITE 102
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-1901
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Country | US
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Telephone | 561-275-7604
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN BURIGO
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Credential | MD
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Telephone | 561-275-7509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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