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General NPI Number Information
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NPI Number | 1083101109
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Entity Type | Individual
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Provider Name | SAJMIR CEPA NURSE PRACTITIONER
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Gender | Male
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Dates
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Enumeration Date | 04/13/2018
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 2402 BENSON AVE APT 3G
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City | BROOKLYN
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State | NY
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Zip | 11214-4342
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Country | US
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Telephone | 917-740-7779
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Fax | 503-272-9559
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Provider Business Mailing Address
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Address Line | 2402 BENSON AVE 3G
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City | NEW YORK
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State | NY
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Zip | 10010-5011
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Country | US
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Telephone | 917-740-7779
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Fax | 503-272-9559
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 404372
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License Number State | NY
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