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General NPI Number Information
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NPI Number | 1558687095
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Entity Type | Organization
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Legal Business Name | CURTIS DERMATOLOGY, P.A.
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Dates
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Enumeration Date | 04/08/2010
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Last Update Date | 03/21/2016
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Provider Practice Location Address
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Address Line | 10817 S JOG RD SUITE 236
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-0911
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Country | US
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Telephone | 561-818-4089
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 210816
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33421-0816
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Country | US
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Telephone | 561-818-4089
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Fax | 561-964-9983
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. LYNORA A CURTIS
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Credential | D.O.
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Telephone | 561-818-4089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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