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General NPI Number Information
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NPI Number | 1396731477
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Entity Type | Individual
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Provider Name | MICHAEL J LOPYKINSKI OD
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Gender | Male
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 08/13/2012
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Provider Practice Location Address
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Address Line | 100 S MILITARY TRL SUITE 6
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-3015
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Country | US
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Telephone | 954-708-2232
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Fax | 954-708-2232
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Provider Business Mailing Address
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Address Line | 11315 NW 43RD PL
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-7220
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Country | US
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Telephone | 815-685-1334
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 046009644
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC 4152
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License Number State | FL
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