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General NPI Number Information
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NPI Number | 1295137172
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Entity Type | Individual
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Provider Name | CAMILA FREITAS PEREIRA-ESHRAGHI MD
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Gender | Female
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Dates
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Enumeration Date | 09/22/2014
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Last Update Date | 05/27/2020
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Provider Practice Location Address
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Address Line | 90 GEORGE RUSSELL WAY
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City | CLIFTON
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State | NJ
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Zip | 07013-2681
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Country | US
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Telephone | 954-243-2258
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Fax |
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Provider Business Mailing Address
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Address Line | 24 VALLEY RD
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City | HAWORTH
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State | NJ
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Zip | 07641-1820
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Country | US
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Telephone | 954-243-2258
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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 | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 285769
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License Number State | NY
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