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General NPI Number Information
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NPI Number | 1790576726
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Entity Type | Organization
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Legal Business Name | KEYPOINT MEDICAL GROUP LLC
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Dates
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Enumeration Date | 05/17/2025
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Last Update Date | 05/17/2025
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Provider Practice Location Address
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Address Line | 861 MAIN ST FL 1
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City | HACKENSACK
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State | NJ
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Zip | 07601-4907
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Country | US
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Telephone | 201-373-6757
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Fax | 201-373-6757
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Provider Business Mailing Address
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Address Line | 861 MAIN ST FL 1
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City | HACKENSACK
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State | NJ
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Zip | 07601-4907
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Country | US
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Telephone | 201-373-6757
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. BRANDON T HOWARD
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Credential | MD
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Telephone | 201-373-6757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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