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General NPI Number Information
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NPI Number | 1508159427
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Entity Type | Organization
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Legal Business Name | RICHARD M. DWOSKIN, M.D., P.A.
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Dates
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Enumeration Date | 05/25/2011
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 3370 BURNS RD STE 105A
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4327
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Country | US
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Telephone | 561-775-1506
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Fax |
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Provider Business Mailing Address
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Address Line | 12 WYCLIFF RD
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-6846
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD MARK DWOSKIN
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Credential | M.D.
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Telephone | 561-775-1506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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