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General NPI Number Information
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NPI Number | 1801875646
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Entity Type | Individual
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Provider Name | ALAN H. JAFFE MD
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Gender | Male
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 10/16/2013
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Provider Practice Location Address
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Address Line | 210 WESTCHESTER AVE
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City | WHITE PLAINS
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State | NY
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Zip | 10604-2901
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Country | US
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Telephone | 914-682-6466
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Fax | 914-682-6403
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Provider Business Mailing Address
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Address Line | 210 WESTCHESTER AVE 3RD FLOOR
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City | WHITE PLAINS
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State | NY
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Zip | 10604-2901
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Country | US
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Telephone | 914-681-3146
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Fax | 914-682-6403
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 126015
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 039077
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License Number State | CT
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