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General NPI Number Information
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NPI Number | 1962423145
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Entity Type | Organization
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Legal Business Name | SIMON KAHN MD PC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 464 HUDSON TER SUITE 201
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-2902
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Country | US
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Telephone | 201-567-2206
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Fax | 201-567-1120
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Provider Business Mailing Address
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Address Line | 464 HUDSON TER SUITE 201
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-2902
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Country | US
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Telephone | 201-567-2206
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Fax | 201-567-1120
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Authorized Official
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Title or Position | PRESIDENT
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Name | SIMON KAHN
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Credential | MD
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Telephone | 201-567-2206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MA46175
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License Number State | NJ
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