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General NPI Number Information
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NPI Number | 1427218239
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Entity Type | Individual
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Provider Name | JOSEPH SHATZKES M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2008
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 177 N DEAN ST PH 1
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2527
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Country | US
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Telephone | 201-569-4901
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Fax |
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Provider Business Mailing Address
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Address Line | 6585 162ND ST APT 3F
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City | FLUSHING
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State | NY
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Zip | 11365-2665
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Country | US
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Telephone | 718-380-4063
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MA09447300
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License Number State | NJ
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