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General NPI Number Information
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NPI Number | 1568419877
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Entity Type | Individual
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Provider Name | JAN J DOBROWOLSKI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 10115 FOREST HILL BLVD STE 200
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City | WELLINGTON
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State | FL
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Zip | 33414-3104
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Country | US
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Telephone | 561-877-8351
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Fax | 844-768-2781
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Provider Business Mailing Address
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Address Line | 7593 W BOYNTON BEACH BLVD STE 220
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-6162
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Country | US
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Telephone | 561-649-7000
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | ME89607
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME89607
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License Number State | FL
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