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General NPI Number Information
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NPI Number | 1811924806
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Entity Type | Individual
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Provider Name | ARIEH KAYNAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 18815 RADNOR RD
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City | HOLLIS
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State | NY
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Zip | 11423-1018
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Country | US
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Telephone | 718-479-0582
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Fax | 718-464-1515
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Provider Business Mailing Address
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Address Line | 18815 RADNOR RD
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City | HOLLIS
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State | NY
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Zip | 11423-1018
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Country | US
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Telephone | 718-479-0582
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Fax | 718-464-1515
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 115181
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License Number State | NY
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