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General NPI Number Information
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NPI Number | 1740209022
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Entity Type | Individual
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Provider Name | ILKA P CEKA A.N.P
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Gender | Female
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7098 AMBOY ROAD
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City | STATEN ISLAND
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State | NY
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Zip | 10307
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Country | US
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Telephone | 718-356-5600
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Fax | 718-304-7598
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Provider Business Mailing Address
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Address Line | 11 BEDELL AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10307-2001
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Country | US
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Telephone | 646-734-2640
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Fax | 718-304-7598
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F304239
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License Number State | NY
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