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General NPI Number Information
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NPI Number | 1801189006
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Entity Type | Organization
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Legal Business Name | MAZEN O KAMEN, M.D. P.C.
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Dates
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Enumeration Date | 05/20/2011
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Last Update Date | 05/20/2011
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Provider Practice Location Address
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Address Line | 1021 PARK AVE SUITE 101
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City | NEW YORK
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State | NY
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Zip | 10028-0959
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Country | US
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Telephone | 212-427-5800
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Fax | 212-996-9943
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Provider Business Mailing Address
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Address Line | 1021 PARK AVE SUITE 101
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City | NEW YORK
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State | NY
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Zip | 10028-0959
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Country | US
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Telephone | 212-427-5800
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Fax | 212-996-9943
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MAZEN O KAMEN
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Credential | M.D.
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Telephone | 212-427-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 162751
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License Number State | NY
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