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General NPI Number Information
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NPI Number | 1891123204
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Entity Type | Organization
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Legal Business Name | KACZMARSKI BARIATRICS, P.C.
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Dates
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Enumeration Date | 10/22/2013
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Last Update Date | 10/22/2013
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Provider Practice Location Address
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Address Line | 280 MIDDLETOWN BLVD
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City | LANGHORNE
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State | PA
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Zip | 19047-1816
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Country | US
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Telephone | 267-572-3168
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Fax | 267-572-3161
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Provider Business Mailing Address
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Address Line | 280 MIDDLETOWN BLVD
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City | LANGHORNE
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State | PA
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Zip | 19047-1816
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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 | SURGEON
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Name | CHRISTOPHER J KACZMARSKI
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Credential | M.D,.
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Telephone | 267-572-3168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | MD063400L
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License Number State | PA
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