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General NPI Number Information
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NPI Number | 1821186230
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Entity Type | Individual
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Provider Name | JULIE KONOWITZ SIRKIN MD
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Gender | Female
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 04/26/2022
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Provider Practice Location Address
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Address Line | 9868 S STATE ROAD 7 STE 305
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City | BOYNTON BEACH
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State | FL
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Zip | 33472-4475
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Country | US
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Telephone | 561-369-0111
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Fax | 561-369-4003
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Provider Business Mailing Address
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Address Line | 160 JFK DR STE 101
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City | ATLANTIS
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State | FL
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Zip | 33462-6638
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Country | US
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Telephone | 561-964-1215
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Fax | 561-964-1245
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 84037
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License Number State | FL
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