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General NPI Number Information
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NPI Number | 1700931680
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Entity Type | Individual
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Provider Name | JOHN S KASHANI DO
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Gender | Male
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 09/04/2008
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Provider Practice Location Address
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Address Line | 111 CENTRAL AVE
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City | NEWARK
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State | NJ
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Zip | 07102-1909
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Country | US
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Telephone | 973-877-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 66 W GILBERT ST
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City | TINTON FALLS
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State | NJ
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Zip | 07701-4947
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Country | US
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Telephone | 732-212-0060
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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 | 207PT0002X
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Taxonomy Name | Medical Toxicology (Emergency Medicine) Physician
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License Number | 25MB07923700
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License Number State | NJ
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