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General NPI Number Information
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NPI Number | 1942380159
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Entity Type | Organization
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Legal Business Name | ROYAL PALM DERMATOLOGY
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1599 NW 9TH AVENUE
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City | BOCA RATON
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State | FL
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Zip | 33486
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Country | US
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Telephone | 561-417-5004
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Fax | 561-417-7189
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Provider Business Mailing Address
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Address Line | 1599 NW 9TH AVENUE
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City | BOCA RATON
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State | FL
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Zip | 33486
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Country | US
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Telephone | 561-417-5004
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Fax | 561-417-7189
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Authorized Official
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Title or Position | MD OWNER
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Name | DR. TOBI B RICHMAN
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Credential | MD
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Telephone | 561-417-5004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME49848
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License Number State | FL
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