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General NPI Number Information
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NPI Number | 1023631215
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Entity Type | Organization
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Legal Business Name | K&H MEDICAL-NJ LLC
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Dates
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Enumeration Date | 05/21/2020
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 727 JORALEMON ST STE A
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City | BELLEVILLE
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State | NJ
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Zip | 07109-1455
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Country | US
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Telephone | 973-329-0380
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Fax | 973-329-0383
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Provider Business Mailing Address
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Address Line | 120 HICKSVILLE RD
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City | BETHPAGE
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State | NY
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Zip | 11714-3443
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Country | US
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Telephone | 516-717-1839
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Fax | 631-204-6466
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Authorized Official
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Title or Position | OWNER
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Name | ELIEZER HALPERT
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Credential | MD
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Telephone | 516-717-1839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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