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General NPI Number Information
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NPI Number | 1174230312
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Entity Type | Organization
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Legal Business Name | KATHRIN S SERRAO MD LLC
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Dates
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Enumeration Date | 10/27/2022
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 1033 CLIFTON AVE SUITE 108
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City | CLIFTON
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State | NJ
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Zip | 07013
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Country | US
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Telephone | 973-577-1995
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Fax | 973-577-2711
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Provider Business Mailing Address
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Address Line | 1033 CLIFTON AVE SUITE 108
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City | CLIFTON
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State | NJ
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Zip | 07013
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Country | US
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Telephone | 973-577-1995
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Fax | 973-577-2711
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Authorized Official
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Title or Position | OWNER
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Name | DR. KATHRIN SANDRA SERRAO
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Credential | MD
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Telephone | 973-577-1995
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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 |
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License Number State |
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