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General NPI Number Information
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NPI Number | 1396849071
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Entity Type | Individual
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Provider Name | ARTHUR SAMUEL KURTZ MD
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Gender | Male
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 16 ROOSEVELT AVE
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City | PORT JEFFERSON STATION
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State | NY
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Zip | 11776-3337
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Country | US
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Telephone | 631-928-7900
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Fax |
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Provider Business Mailing Address
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Address Line | 3 KENWOOD ST
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City | EAST SETAUKET
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State | NY
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Zip | 11733-2049
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Country | US
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Telephone | 631-334-8800
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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 | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 169716
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License Number State | NY
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