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General NPI Number Information
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NPI Number | 1477537181
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Entity Type | Organization
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Legal Business Name | LITVIN CENTERS FOR DIABETES
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 01/18/2010
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Provider Practice Location Address
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Address Line | 158 LINWOOD PLZ STE 318-323
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City | FORT LEE
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State | NJ
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Zip | 07024-3704
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Country | US
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Telephone | 201-461-0585
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Fax | 201-461-1546
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Provider Business Mailing Address
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Address Line | 158 LINWOOD PLZ STE 318-323
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City | FORT LEE
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State | NJ
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Zip | 07024-3704
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Country | US
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Telephone | 201-461-0585
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Fax | 201-461-1546
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Authorized Official
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Title or Position | OWNER
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Name | YAIR LITVIN
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Credential | MD
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Telephone | 201-461-0585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 161098
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MA58710
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License Number State | NJ
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