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General NPI Number Information
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NPI Number | 1013409531
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Entity Type | Individual
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Provider Name | DESIREE MARIA FERDINANDI
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Gender | Female
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Dates
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Enumeration Date | 05/31/2018
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 169 RIVERSIDE DR
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City | BINGHAMTON
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State | NY
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Zip | 13905-4246
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Country | US
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Telephone | 518-650-7503
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 392587
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City | PITTSBURGH
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State | PA
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Zip | 15251-9587
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Country | US
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Telephone | 844-225-7619
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Fax |
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 2023050269
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2023050269
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 310342
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License Number State | NY
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