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General NPI Number Information
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NPI Number | 1851320733
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Entity Type | Individual
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Provider Name | ALEXANDER POISIK MD
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Gender | Male
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 301 NW 84TH AVE STE 303
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City | PLANTATION
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State | FL
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Zip | 33324-1807
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Country | US
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Telephone | 754-238-1965
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Fax | 754-238-1803
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Provider Business Mailing Address
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Address Line | PO BOX 565338
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City | MIAMI
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State | FL
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Zip | 33256-5338
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Country | US
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Telephone | 754-238-1965
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Fax | 754-238-1803
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | ME98912
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License Number State | FL
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