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General NPI Number Information
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NPI Number | 1396145041
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Entity Type | Organization
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Legal Business Name | KINDER PEDIATRICS, P.C.
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Dates
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Enumeration Date | 08/31/2014
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Last Update Date | 03/22/2017
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Provider Practice Location Address
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Address Line | 1201 RIVER AVE UNIT 10
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5676
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Country | US
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Telephone | 732-775-0222
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 RIVER AVE UNIT 10
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5676
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Country | US
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Telephone | 732-775-0222
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Fax |
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Authorized Official
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Title or Position | PROPRIETOR
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Name | DR. WILLIAM FENSTER
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Credential | M.D.
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Telephone | 732-730-0511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA08241700
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License Number State | NJ
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