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General NPI Number Information
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NPI Number | 1437492774
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Entity Type | Individual
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Provider Name | SEAN AARON KOTKIN
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Gender | Male
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Dates
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Enumeration Date | 04/05/2013
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 593 CRANBURY RD STE 2
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-4093
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Country | US
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Telephone | 732-390-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 1 GUSTAVE L LEVY PL # 1030
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City | NEW YORK
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State | NY
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Zip | 10029-6504
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Country | US
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Telephone | 212-241-3871
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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 | 277699
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MA12566200
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License Number State | NJ
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