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General NPI Number Information
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NPI Number | 1760940985
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Entity Type | Individual
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Provider Name | CHRISMARY A CEPEDA
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Gender | Female
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Dates
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Enumeration Date | 03/06/2019
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Last Update Date | 03/06/2019
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Provider Practice Location Address
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Address Line | 960 SOUTHERN BLVD
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City | BRONX
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State | NY
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Zip | 10459-3402
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Country | US
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Telephone | 718-589-2440
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Fax |
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Provider Business Mailing Address
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Address Line | 6 BEAVER CT
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City | NEW CITY
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State | NY
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Zip | 10956-6401
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Country | US
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Telephone | 917-854-1878
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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