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General NPI Number Information
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NPI Number | 1902138266
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Entity Type | Individual
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Provider Name | ALEXANDER RADZIKHOVSKY LMT
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Gender | Male
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Dates
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Enumeration Date | 02/10/2010
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Last Update Date | 02/10/2010
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Provider Practice Location Address
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Address Line | 4510 N FEDERAL HWY STE 101
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City | LIGHTHOUSE POINT
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State | FL
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Zip | 33064-6509
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Country | US
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Telephone | 954-257-3095
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Fax | 954-785-4425
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Provider Business Mailing Address
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Address Line | 901 HILLSBORO MILE
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City | HILLSBORO BEACH
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State | FL
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Zip | 33062-2801
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Country | US
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Telephone | 954-257-3095
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Fax | 954-785-4425
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA#0008748
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License Number State | FL
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