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General NPI Number Information
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NPI Number | 1447453824
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Entity Type | Organization
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Legal Business Name | ARKADIY V. PURYGIN, M.D., D.O., P.A.
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 4308 ALTON RD STE 880
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City | MIAMI BEACH
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State | FL
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Zip | 33140-4560
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Country | US
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Telephone | 305-535-0055
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Fax | 844-364-0130
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Provider Business Mailing Address
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Address Line | 4308 ALTON RD STE 880
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City | MIAMI BEACH
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State | FL
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Zip | 33140-4560
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Country | US
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Telephone | 305-535-0055
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Fax | 844-364-0130
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARKADIY V. PURYGIN
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Credential | D.O.
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Telephone | 305-535-0055
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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 | OS 9336
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License Number State | FL
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