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General NPI Number Information
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NPI Number | 1487631834
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Entity Type | Individual
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Provider Name | JAMES A CENNAMO DO
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Gender | Male
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2708 E OAKLAND PARK BLVD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1605
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Country | US
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Telephone | 954-318-0873
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Fax |
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Provider Business Mailing Address
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Address Line | 1609 NE 27TH DR
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City | WILTON MANORS
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State | FL
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Zip | 33334-4354
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Country | US
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Telephone | 954-565-4974
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS8515
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License Number State | FL
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