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General NPI Number Information
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NPI Number | 1780041905
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Entity Type | Organization
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Legal Business Name | CELESTINO NENINGER MD PA
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Dates
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Enumeration Date | 01/19/2016
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Last Update Date | 01/19/2016
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Provider Practice Location Address
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Address Line | 601 NE 36TH ST APT 1307
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City | MIAMI
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State | FL
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Zip | 33137-3914
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Country | US
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Telephone | 813-391-1089
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Fax | 305-702-9442
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Provider Business Mailing Address
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Address Line | 1800 W 68TH ST SUITE 115
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City | HIALEAH
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State | FL
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Zip | 33014-4404
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Country | US
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Telephone | 305-698-9077
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Fax | 305-702-9442
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. CELESTINO NENINGER
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Credential | MD
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Telephone | 813-391-1089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME82167
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME82167
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License Number State | FL
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