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General NPI Number Information
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NPI Number | 1154737435
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Entity Type | Individual
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Provider Name | RAFAEL CIRINO
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Gender | Male
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 42 BROADWAY FL 12
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City | NEW YORK
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State | NY
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Zip | 10004-1617
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Country | US
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Telephone | 917-846-8542
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Fax |
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Provider Business Mailing Address
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Address Line | 447 BROADWAY FL 2
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City | NEW YORK
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State | NY
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Zip | 10013-2562
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Country | US
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Telephone |
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 677728
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 677728
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License Number State | NY
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