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General NPI Number Information
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NPI Number | 1659066983
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Entity Type | Organization
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Legal Business Name | K&H MEDICAL PHIL PLLC
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Dates
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Enumeration Date | 04/11/2023
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 235 NORTH BROAD STREET SUITE 100
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City | PHILADELPHIA
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State | PA
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Zip | 19107-1531
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Country | US
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Telephone | 212-734-6621
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Fax | 215-568-6833
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Provider Business Mailing Address
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Address Line | 120 HICKSVILLE ROAD
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City | BETHPAGE
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State | NY
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Zip | 11714-3443
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Country | US
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Telephone | 516-717-1839
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Fax | 516-614-1028
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Authorized Official
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Title or Position | DELEGATED OFFICIAL/MEDICAL DIRECTOR
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Name | ELIEZER HALPERT
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Credential | MD
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Telephone | 212-734-6621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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Taxonomy #4
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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