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General NPI Number Information
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NPI Number | 1861225476
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Entity Type | Organization
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Legal Business Name | JEFFREY A SHENFELD MD PC
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Dates
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Enumeration Date | 08/21/2024
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 401 S VAN BRUNT ST STE 302
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-4604
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Country | US
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Telephone | 201-947-4777
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Fax | 201-461-6160
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Provider Business Mailing Address
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Address Line | 401 S VAN BRUNT ST STE 302
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-4604
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Country | US
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Telephone | 201-947-4777
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Fax | 201-461-6160
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Authorized Official
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Title or Position | OFFICE ADMIN
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Name | MISEON SHIN
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Credential |
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Telephone | 201-541-1070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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