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General NPI Number Information
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NPI Number | 1144335712
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Entity Type | Individual
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Provider Name | CARLOS A MENERA MD
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Gender | Male
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 270 DOUGHTY BLVD
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City | INWOOD
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State | NY
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Zip | 11096
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Country | US
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Telephone | 516-371-1441
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Fax | 516-371-4302
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Provider Business Mailing Address
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Address Line | 107 LAFAYETTE PLACE
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City | WOODMERE
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State | NY
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Zip | 11598
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Country | US
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Telephone | 516-569-9221
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Fax | 516-371-4302
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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 | 187265
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License Number State | NY
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