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General NPI Number Information
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NPI Number | 1295758258
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Entity Type | Individual
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Provider Name | JEFFREY KALADAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 08/27/2012
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Provider Practice Location Address
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Address Line | 141 MAIN ST
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City | SOUTH BOUND BROOK
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State | NJ
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Zip | 08880-1480
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Country | US
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Telephone | 732-560-1234
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Fax | 732-560-0210
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Provider Business Mailing Address
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Address Line | 141 MAIN ST
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City | SOUTH BOUND BROOK
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State | NJ
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Zip | 08880-1480
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Country | US
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Telephone | 732-560-1234
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Fax | 732-560-0210
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MA 61660
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License Number State | NJ
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