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General NPI Number Information
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NPI Number | 1316259658
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Entity Type | Organization
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Legal Business Name | MITCHELL L KAPHAN MD PLLC
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 07/01/2010
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Provider Practice Location Address
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Address Line | 9 MILDRED PKWY
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City | NEW ROCHELLE
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State | NY
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Zip | 10804-2106
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Country | US
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Telephone | 914-632-3350
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Fax | 914-576-7853
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Provider Business Mailing Address
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Address Line | 9 MILDRED PKWY
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City | NEW ROCHELLE
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State | NY
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Zip | 10804-2106
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Country | US
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Telephone | 914-632-3350
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Fax | 914-576-7853
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Authorized Official
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Title or Position | OWNER
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Name | MITCHELL L KAPHAN
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Credential | MD
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Telephone | 914-632-3350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 139985
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License Number State | NY
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