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General NPI Number Information
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NPI Number | 1750336848
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Entity Type | Organization
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Legal Business Name | KOT H/A CENTER, LLC
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 453 CLIFTON AVE
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City | CLIFTON
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State | NJ
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Zip | 07011
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Country | US
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Telephone | 973-772-5457
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Fax | 973-772-5457
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Provider Business Mailing Address
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Address Line | 453 CLIFTON AVE
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City | CLIFTON
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State | NJ
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Zip | 07011
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Country | US
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Telephone | 973-772-5457
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Fax | 973-772-5457
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Authorized Official
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Title or Position | DOCTOR OF AUDIOLOGY
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Name | DR. JEFFREY B KOT
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Credential | AUD
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Telephone | 973-772-5457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 31TD00038900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 25MG00042100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 25MG00040300
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 41YA00010300
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License Number State | NJ
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