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General NPI Number Information
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NPI Number | 1457751588
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Entity Type | Individual
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Provider Name | CEZAR RAICEA
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Gender | Male
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Dates
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Enumeration Date | 08/26/2014
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Last Update Date | 08/26/2014
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Provider Practice Location Address
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Address Line | ELM AND CARLTON ST ROSWELL PARK CANCER INSTITUTE
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City | BUFFALO
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State | NY
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Zip | 14263-0001
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Country | US
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Telephone | 716-845-3472
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Fax |
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Provider Business Mailing Address
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Address Line | 849 DELAWARE AVENUE , APT 302
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City | BUFFALO
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State | NY
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Zip | 14209
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Country | US
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Telephone | 716-507-7716
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | P92042
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License Number State | NY
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