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General NPI Number Information
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NPI Number | 1316904592
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Entity Type | Individual
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Provider Name | JUDITH MORRIS DE CELIS M.D
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Gender | Female
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Dates
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Enumeration Date | 04/29/2006
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Last Update Date | 09/14/2019
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Provider Practice Location Address
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Address Line | 338 E 30TH ST
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City | NEW YORK
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State | NY
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Zip | 10016-8318
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Country | US
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Telephone | 212-679-2213
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Fax | 917-388-2678
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Provider Business Mailing Address
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Address Line | 330 E 38TH ST APT 31J
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City | NEW YORK
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State | NY
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Zip | 10016-2781
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Country | US
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Telephone | 212-972-3340
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Fax | 917-388-2678
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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 | 135462
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License Number State | NY
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