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General NPI Number Information
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NPI Number | 1255772323
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Entity Type | Individual
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Provider Name | ALEXANDER BOIKOV M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2013
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 1400 S ORANGE AVE
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City | ORLANDO
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State | FL
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Zip | 32806-2134
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Country | US
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Telephone | 321-843-8010
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Fax | 321-843-6330
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Provider Business Mailing Address
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Address Line | 1400 S ORANGE AVE
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City | ORLANDO
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State | FL
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Zip | 32806-2134
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Country | US
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Telephone | 321-843-8010
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Fax | 321-843-6330
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 4301103084
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME169291
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License Number State | FL
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