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General NPI Number Information
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NPI Number | 1255428629
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Entity Type | Individual
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Provider Name | JAMES GORDON KANTOR D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 04/01/2022
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Provider Practice Location Address
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Address Line | 100 EAGLETON LN
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-8052
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Country | US
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Telephone | 267-679-1492
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Fax |
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Provider Business Mailing Address
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Address Line | 100 EAGLETON LN
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-8052
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Country | US
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Telephone | 267-679-1492
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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 | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | OS003487L
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License Number State | PA
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