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General NPI Number Information
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NPI Number | 1538133178
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Entity Type | Individual
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Provider Name | DENIZ CEREB MD
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Gender | Male
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 08/19/2010
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Provider Practice Location Address
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Address Line | 2066 RICHMOND AVENUE 1ST FLOOR
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3916
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Country | US
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Telephone | 718-982-9001
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Fax | 718-982-9008
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Provider Business Mailing Address
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Address Line | 2066 RICHMOND AVENUE 1ST FLOOR
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3916
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Country | US
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Telephone | 718-982-9001
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Fax | 718-982-9008
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 200270
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 200270
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License Number State | NY
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