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General NPI Number Information
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NPI Number | 1467727669
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Entity Type | Organization
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Legal Business Name | MICHAEL J LOPYKINSKI OD PA
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Dates
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Enumeration Date | 03/21/2012
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Last Update Date | 03/21/2012
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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 | 954-571-1701
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Fax |
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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 | PRESIDENT
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Name | DR. MICHAEL J LOPYKINSKI
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Credential | OD
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Telephone | 815-685-1334
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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 | OPC 4152
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License Number State | FL
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