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General NPI Number Information
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NPI Number | 1487834990
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Entity Type | Organization
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Legal Business Name | JAY I STYLMAN MD PC
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 847 KEARNY AVE
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City | KEARNY
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State | NJ
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Zip | 07032-3209
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Country | US
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Telephone | 201-991-0041
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Fax | 201-991-5305
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Provider Business Mailing Address
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Address Line | 847 KEARNY AVE
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City | KEARNY
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State | NJ
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Zip | 07032-3209
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Country | US
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Telephone | 201-991-0041
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Fax | 201-991-5305
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAY I STYLMAN
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Credential | MD
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Telephone | 201-991-0041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MA52191
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License Number State | NJ
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