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General NPI Number Information
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NPI Number | 1104250117
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Entity Type | Individual
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Provider Name | CHARLSIE KHALISHA CELESTINE MD
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Gender | Female
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Dates
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Enumeration Date | 08/27/2013
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 319 US HIGHWAY 130 STE 29D
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City | EAST WINDSOR
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State | NJ
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Zip | 08520-2735
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Country | US
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Telephone | 609-607-6600
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Fax | 609-371-0346
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Provider Business Mailing Address
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Address Line | 319 US HIGHWAY 130 STE 29D
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City | EAST WINDSOR
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State | NJ
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Zip | 08520-2735
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Country | US
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Telephone | 609-607-6600
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Fax | 609-371-0346
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 27031
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 25MA09840000
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License Number State | NJ
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