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General NPI Number Information
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NPI Number | 1063709590
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Entity Type | Individual
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Provider Name | DR. ADAM HANDLER
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Gender | Male
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Dates
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Enumeration Date | 07/05/2011
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Last Update Date | 06/30/2014
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Provider Practice Location Address
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Address Line | 1400 PELHAM PKWY S
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City | BRONX
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State | NY
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Zip | 10461-1138
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Country | US
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Telephone | 973-479-9423
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Fax |
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Provider Business Mailing Address
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Address Line | 214 E 90TH ST APT 3WR
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City | NEW YORK
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State | NY
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Zip | 10128-4406
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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 |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA09458800
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License Number State | NJ
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