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General NPI Number Information
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NPI Number | 1538270533
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Entity Type | Individual
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Provider Name | KENNETH ROBERT POZNER M.D
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 501 IRON BRIDGE RD SUITE #9
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City | FREEHOLD
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State | NJ
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Zip | 07728-5304
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Country | US
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Telephone | 732-462-9366
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Fax | 732-780-8617
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Provider Business Mailing Address
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Address Line | 7 ELI CIR
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1661
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Country | US
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Telephone | 732-536-5252
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | M33137
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License Number State | NJ
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