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General NPI Number Information
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NPI Number | 1265836951
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Entity Type | Organization
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Legal Business Name | ALAN J BOYKIN MD PC
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Dates
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Enumeration Date | 10/09/2014
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 16020 WILLETS POINT BLVD
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City | WHITESTONE
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State | NY
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Zip | 11357-3342
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Country | US
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Telephone | 718-279-4300
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Fax | 212-202-4939
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Provider Business Mailing Address
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Address Line | 134 FINUCANE PL
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City | WOODMERE
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State | NY
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Zip | 11598-1309
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Country | US
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Telephone | 516-840-6929
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Fax | 516-569-0752
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Authorized Official
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Title or Position | OWNER
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Name | ALAN BOYKIN
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Credential | M.D.
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Telephone | 516-840-6929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 177068
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License Number State | NY
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