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General NPI Number Information
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NPI Number | 1447280607
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Entity Type | Individual
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Provider Name | JOSEPH GEORGE CERJAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 4343 YAQUI PASS ROAD
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City | BORREGO SPRINGS
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State | CA
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Zip | 92004
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Country | US
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Telephone | 607-675-0517
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Fax |
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Provider Business Mailing Address
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Address Line | 1695 N SUNRISE WAY
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City | PALM SPRINGS
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State | CA
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Zip | 92262-3701
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Country | US
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Telephone | 603-237-2118
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A45529
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License Number State | CA
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