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General NPI Number Information
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NPI Number | 1700894417
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Entity Type | Organization
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Legal Business Name | OB-GYN ASSOCIATES OF ENGLEWOOD,PA
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 177 N DEAN ST 208
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2533
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Country | US
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Telephone | 201-569-0200
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Fax | 201-569-8287
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Provider Business Mailing Address
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Address Line | 177 N DEAN ST 208
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2533
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Country | US
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Telephone | 201-569-0200
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Fax | 201-569-8287
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Authorized Official
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Title or Position | PRESDENT
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Name | DR. VLADIMIR KILINSKY
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Credential | M.D
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Telephone | 201-569-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MA047762
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License Number State | NJ
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