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General NPI Number Information
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NPI Number | 1962661660
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Entity Type | Organization
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Legal Business Name | EZRA S. KAZAM MD PA
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Dates
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Enumeration Date | 06/06/2008
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 2 WASHINGTON PL
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City | MORRISTOWN
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State | NJ
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Zip | 07960-4220
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Country | US
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Telephone | 973-267-8755
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Fax | 973-267-6265
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Provider Business Mailing Address
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Address Line | 2 WASHINGTON PL
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City | MORRISTOWN
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State | NJ
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Zip | 07960-4220
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Country | US
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Telephone | 973-267-8755
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Fax | 973-267-6265
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Authorized Official
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Title or Position | PHYSICIAN
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Name | EZRA S KAZAM
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Credential |
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Telephone | 973-267-8755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 32680
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License Number State | NJ
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