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General NPI Number Information
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NPI Number | 1881021947
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Entity Type | Organization
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Legal Business Name | ATLANTIC REPRODUCTIVE ASSOCIATES, LLC
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Dates
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Enumeration Date | 10/03/2013
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Last Update Date | 10/03/2013
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Provider Practice Location Address
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Address Line | 10301 HAGEN RANCH RD SUITE 6
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3724
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Country | US
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Telephone | 561-736-6006
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Fax | 561-736-5788
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Provider Business Mailing Address
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Address Line | 8604 PINION DR
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City | LAKE WORTH
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State | FL
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Zip | 33467-1125
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | TIBOR E POLCZ
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Credential | MD
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Telephone | 561-736-6006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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