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General NPI Number Information
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NPI Number | 1457365892
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Entity Type | Individual
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Provider Name | CENK AYRAL MAED. BSN CDE
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Gender | Male
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 12/13/2007
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Provider Practice Location Address
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Address Line | 200 W. HOSPITAL DR. WHITERIVER PHS INDIAN HOSPITAL
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City | WHITERIVER
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State | AZ
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Zip | 85941-0860
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Country | US
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Telephone | 928-338-3665
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 860 200 W. HOSPITAL DR.
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City | WHITERIVER
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State | AZ
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Zip | 85941-0860
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Country | US
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Telephone | 928-338-3665
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 2843752
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | CDE #2222-0025
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License Number State | FL
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