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General NPI Number Information
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NPI Number | 1255438537
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Entity Type | Organization
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Legal Business Name | DRS. BERANBAUM, KHILNANI, NEISTADT, JACOBS, HERTZ & SHERMAN, LLP
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 400 E 66TH ST
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City | NEW YORK
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State | NY
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Zip | 10065-9314
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Country | US
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Telephone | 212-838-4243
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Fax | 212-838-7370
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Provider Business Mailing Address
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Address Line | 400 E 66TH STREET
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City | NEW YORK
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State | NY
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Zip | 10065-9314
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Country | US
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Telephone | 212-838-4243
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Fax | 212-838-7370
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. MORTON JACOBS
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Credential | M.D.
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Telephone | 212-838-4243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine 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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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