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General NPI Number Information
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NPI Number | 1851893002
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Entity Type | Organization
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Legal Business Name | KAYLA PEDIATRICS, PC
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Dates
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Enumeration Date | 03/04/2018
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 930 N WOOD AVE
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City | LINDEN
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State | NJ
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Zip | 07036-4040
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Country | US
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Telephone | 908-490-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 930 N WOOD AVE
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City | LINDEN
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State | NJ
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Zip | 07036-4040
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DO
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Name | YECHIEL ZAGELBAUM
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Credential |
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Telephone | 908-490-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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