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General NPI Number Information
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NPI Number | 1922023696
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Entity Type | Individual
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Provider Name | MERVYN ROY KAPLAN DPM
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 111 N CENTRAL AVE STE 231
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City | HARTSDALE
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State | NY
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Zip | 10530-1938
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Country | US
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Telephone | 914-681-8868
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Fax | 914-761-0841
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Provider Business Mailing Address
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Address Line | 76 SOUNDVIEW AVE
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City | WHITE PLAINS
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State | NY
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Zip | 10606-3428
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Country | US
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Telephone | 914-262-7584
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Fax | 914-761-0841
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N0022531
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License Number State | NY
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