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General NPI Number Information
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NPI Number | 1518311851
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Entity Type | Individual
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Provider Name | SHALOM SOKOLOW M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/22/2016
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 350 ENGLE ST
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-1808
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Country | US
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Telephone | 201-894-3450
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Fax |
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Provider Business Mailing Address
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Address Line | 701 N BROADWAY
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-1020
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Country | US
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Telephone | 917-318-9374
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MA10887800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 298689
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License Number State | NY
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