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General NPI Number Information
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NPI Number | 1336406727
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Entity Type | Organization
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Legal Business Name | JEROME R CAIATI MD.,PC.
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Dates
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Enumeration Date | 04/23/2012
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Last Update Date | 04/23/2012
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Provider Practice Location Address
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Address Line | 165 N VILLAGE AVE SUITE#134
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570
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Country | US
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Telephone | 516-764-6605
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Fax | 516-764-6243
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Provider Business Mailing Address
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Address Line | 165 N. VILLAGE AVE SUITE134
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570
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Country | US
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Telephone | 516-764-6605
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Fax | 516-764-6243
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JEROME ROBERT CAIATI
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Credential | MD
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Telephone | 516-764-6605
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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 | 143823
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License Number State | NY
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