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General NPI Number Information
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NPI Number | 1881522738
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Entity Type | Organization
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Legal Business Name | KESHET PROFESSIONAL SERVICES
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 1900 SUPERIOR AVE STE 327
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City | CLEVELAND
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State | OH
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Zip | 44114-2148
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Country | US
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Telephone | 347-234-5116
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Fax |
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Provider Business Mailing Address
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Address Line | 71 SCHOLES ST APT 4B
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City | BROOKLYN
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State | NY
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Zip | 11206-1847
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Country | US
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Telephone | 347-234-5116
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Fax | 440-970-1646
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ITAY KESHET
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Credential | MD
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Telephone | 347-234-5116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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