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General NPI Number Information
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NPI Number | 1740328277
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Entity Type | Individual
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Provider Name | CARMELA R CANCELLIERI M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 STONE PL SUITE 302
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City | BRONXVILLE
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State | NY
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Zip | 10708-3426
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Country | US
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Telephone | 914-337-0754
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Fax | 914-337-6493
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Provider Business Mailing Address
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Address Line | 142 DRISLER AVE
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City | WHITE PLAINS
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State | NY
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Zip | 10607-2402
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Country | US
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Telephone | 914-324-2372
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 141942
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License Number State | NY
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