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General NPI Number Information
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NPI Number | 1407953284
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Entity Type | Organization
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Legal Business Name | KERLINE MARCELIN MD,PC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/23/2010
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Provider Practice Location Address
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Address Line | 1983 CROMPOND RD 203
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-4121
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Country | US
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Telephone | 914-737-6360
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Fax | 914-136-7935
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Provider Business Mailing Address
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Address Line | 388 SUMMIT AVE
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City | MOUNT VERNON
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State | NY
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Zip | 10552-2206
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Country | US
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Telephone | 917-626-9133
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Fax |
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Authorized Official
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Title or Position | CHIEF OFFICER
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Name | DR. KERLINE MARCELIN
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Credential | MD
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Telephone | 917-626-9133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 206721
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License Number State | NY
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