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General NPI Number Information
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NPI Number | 1124310420
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Entity Type | Organization
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Legal Business Name | DAISY MANKARIOS BEHMAN MD PC
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Dates
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Enumeration Date | 05/05/2011
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Last Update Date | 06/13/2011
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Provider Practice Location Address
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Address Line | 48 PULASKI AVE
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City | CARTERET
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State | NJ
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Zip | 07008
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Country | US
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Telephone | 732-541-8848
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Fax | 732-541-1451
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Provider Business Mailing Address
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Address Line | 48 PULASKI AVE
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City | CARTERET
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State | NJ
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Zip | 07008
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Country | US
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Telephone | 732-541-8848
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Fax | 732-541-1451
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DAISY MANKARIOS BEHMAN
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Credential | MD
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Telephone | 732-541-8848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 25MA05794600
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License Number State | NJ
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