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General NPI Number Information
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NPI Number | 1568469799
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Entity Type | Individual
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Provider Name | DANKO CERENKO PHD, M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 1240 HIGHWAY 54 W BLDG 700 STE 710
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-4565
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Country | US
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Telephone | 770-991-2800
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Fax | 770-997-3827
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Provider Business Mailing Address
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Address Line | 1240 HIGHWAY 54 W BLDG 700 STE 710
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-4565
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Country | US
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Telephone | 770-991-2800
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Fax | 770-997-3827
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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 | 207YS0012X
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Taxonomy Name | Sleep Medicine (Otolaryngology) Physician
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License Number | 033244
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207YX0901X
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Taxonomy Name | Otology & Neurotology Physician
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License Number | 033244
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 033244
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License Number State | GA
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