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General NPI Number Information
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NPI Number | 1649180407
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Entity Type | Organization
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Legal Business Name | DR ALLYK AESTHETICS, LLC
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 500 NE SPANISH RIVER BLVD STE 28
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City | BOCA RATON
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State | FL
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Zip | 33431-4517
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Country | US
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Telephone | 561-664-7709
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Fax | 888-702-0536
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Provider Business Mailing Address
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Address Line | 500 NE SPANISH RIVER BLVD STE 28
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City | BOCA RATON
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State | FL
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Zip | 33431-4517
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Country | US
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Telephone | 561-664-7709
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Fax | 888-702-0536
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Authorized Official
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Title or Position | OWNER / PHYSICIAN
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Name | DR. ALLYSON ENID KOFFMAN
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Credential | MD, BSC
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Telephone | 561-664-7709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | NULL
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