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General NPI Number Information
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NPI Number | 1346991957
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Entity Type | Organization
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Legal Business Name | RISIN PLASTIC SURGERY ASSOCIATES, PLLC
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Dates
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Enumeration Date | 01/14/2022
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 44 COCOANUT ROW STE B126
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City | PALM BEACH
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State | FL
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Zip | 33480-4069
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Country | US
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Telephone | 561-515-5787
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 326
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City | PALM BEACH
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State | FL
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Zip | 33480-0326
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Country | US
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Telephone | 732-515-5787
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL SIMON RISIN
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Credential | MD
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Telephone | 561-515-5787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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