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General NPI Number Information
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NPI Number | 1518504752
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Entity Type | Organization
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Legal Business Name | CHRISTINA L. CERVIERI MD LLC
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Dates
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Enumeration Date | 12/06/2019
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Last Update Date | 12/06/2019
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Provider Practice Location Address
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Address Line | 12020 WETHERFIELD LN
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City | POTOMAC
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State | MD
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Zip | 20854-1111
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Country | US
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Telephone | 202-821-3467
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Fax |
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Provider Business Mailing Address
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Address Line | 12020 WETHERFIELD LN
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City | POTOMAC
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State | MD
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Zip | 20854-1111
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Country | US
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Telephone | 202-821-3467
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTINA L CERVIERI
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Credential | MD
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Telephone | 202-821-3467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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