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General NPI Number Information
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NPI Number | 1326043258
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Entity Type | Individual
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Provider Name | MARK STEVEN CUKIERMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 02/08/2014
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Provider Practice Location Address
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Address Line | 7445 FENWICK PL
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City | BOCA RATON
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State | FL
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Zip | 33496-1308
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Country | US
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Telephone | 917-697-9883
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Fax |
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Provider Business Mailing Address
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Address Line | 7445 FENWICK PL
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City | BOCA RATON
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State | FL
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Zip | 33496-1308
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Country | US
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Telephone | 917-697-9883
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MA50376
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 167745
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME82479
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License Number State | FL
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