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General NPI Number Information
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NPI Number | 1316192552
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Entity Type | Individual
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Provider Name | MARIE FLORENCE CELESTIN MD
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Gender | Female
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Dates
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Enumeration Date | 12/01/2008
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Last Update Date | 08/29/2020
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Provider Practice Location Address
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Address Line | 1550 DEER PARK AVE STE 2
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City | DEER PARK
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State | NY
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Zip | 11729-6624
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Country | US
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Telephone | 631-486-9402
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Fax |
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Provider Business Mailing Address
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Address Line | 6 MILLBROOK CT
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City | DIX HILLS
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State | NY
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Zip | 11746-7900
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Country | US
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Telephone | 631-486-9402
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 260716
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License Number State | NY
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