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General NPI Number Information
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NPI Number | 1205451614
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Entity Type | Organization
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Legal Business Name | YEHONATAN KANE MD LLC
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Dates
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Enumeration Date | 06/11/2020
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 3561 SW 10TH ST
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City | POMPANO BEACH
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State | FL
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Zip | 33069-4827
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Country | US
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Telephone | 786-564-9565
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Fax |
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Provider Business Mailing Address
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Address Line | 275 N FEDERAL HWY APT 414
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City | POMPANO BEACH
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State | FL
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Zip | 33062-4347
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Country | US
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Telephone | 786-564-9565
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | YEHONATAN KANE
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Credential | MD
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Telephone | 786-564-9565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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