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General NPI Number Information
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NPI Number | 1508836495
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Entity Type | Individual
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Provider Name | KAREN C CERINETTI NP
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Gender | Female
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 08/20/2018
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Provider Practice Location Address
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Address Line | 4400 VESTAL PARKWAY
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City | BINGHAMTON
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State | NY
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Zip | 13902
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Country | US
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Telephone | 607-777-3042
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Fax |
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Provider Business Mailing Address
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Address Line | 4400 VESTAL PARKWAY
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City | BINGHAMTON
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State | NY
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Zip | 13902-1625
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Country | US
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Telephone | 607-777-2221
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Fax | 570-777-5280
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | S002121B
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 330786-1
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License Number State | NY
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