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General NPI Number Information
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NPI Number | 1902874506
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Entity Type | Individual
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Provider Name | HUGO D KITZIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 08/19/2021
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Provider Practice Location Address
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Address Line | 718 TEANECK RD
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City | TEANECK
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State | NJ
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Zip | 07666-4245
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Country | US
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Telephone | 201-968-1800
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Fax | 201-968-1814
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Provider Business Mailing Address
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Address Line | PO BOX 22581
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City | NEW YORK
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State | NY
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Zip | 10087-2581
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Country | US
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Telephone | 856-669-6050
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Fax | 856-528-3117
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA28228
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MA02822800
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License Number State | NJ
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