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General NPI Number Information
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NPI Number | 1861642811
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Entity Type | Individual
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Provider Name | DANIEL HARRIS KORT M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/26/2008
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Last Update Date | 08/22/2014
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Provider Practice Location Address
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Address Line | 655 SHREWSBURY AVE SUITE 300
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4179
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Country | US
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Telephone | 732-758-6511
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Fax | 732-758-1048
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Provider Business Mailing Address
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Address Line | 227 LAUREL RD SUITE 300
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City | VOORHEES
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State | NJ
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Zip | 08043-8303
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Country | US
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Telephone | 856-669-6025
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Fax | 856-651-0794
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 25MA09453200
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License Number State | NJ
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