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General NPI Number Information
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NPI Number | 1902621410
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Entity Type | Organization
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Legal Business Name | DR MATTHEW KULKA PLLC
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 1411 N FLAGLER DR STE 4500
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3408
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Country | US
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Telephone | 561-659-5154
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Fax | 561-659-3820
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Provider Business Mailing Address
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Address Line | 1411 N FLAGLER DR STE 4500
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3408
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Country | US
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Telephone | 561-659-5154
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Fax | 561-659-3820
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | MATTHEW R KULKA
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Credential | DO
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Telephone | 215-595-7911
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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 |
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