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General NPI Number Information
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NPI Number | 1194693002
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Entity Type | Organization
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Legal Business Name | JEF GYNECOLOGY PLLC
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 250 W 27TH ST APT 3E
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City | NEW YORK
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State | NY
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Zip | 10001-5923
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Country | US
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Telephone | 440-724-2129
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Fax |
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Provider Business Mailing Address
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Address Line | 250 W 27TH ST APT 3E
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City | NEW YORK
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State | NY
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Zip | 10001-5923
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Country | US
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Telephone | 440-724-2129
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JOHN EVAN FADEL
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Credential | MD
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Telephone | 440-724-2129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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