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General NPI Number Information
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NPI Number | 1508049420
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Entity Type | Organization
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Legal Business Name | THOMAS CERILLO DPMPC
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Dates
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Enumeration Date | 12/13/2007
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 116 KRAFT AVE
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City | BRONXVILLE
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State | NY
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Zip | 10708-4134
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Country | US
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Telephone | 914-337-1251
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Fax | 914-793-7473
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Provider Business Mailing Address
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Address Line | 116 KRAFT AVE
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City | BRONXVILLE
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State | NY
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Zip | 10708-4134
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Country | US
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Telephone | 914-337-1251
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS CERILLO
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Credential | DPM
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Telephone | 914-337-1251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N002655
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License Number State | NY
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