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General NPI Number Information
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NPI Number | 1801024419
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Entity Type | Individual
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Provider Name | ARTURO EVANGELISTA CENIZA NP-BC
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Gender | Male
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Dates
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Enumeration Date | 06/23/2009
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Last Update Date | 06/23/2009
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Provider Practice Location Address
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Address Line | 1919 HAZEN ST RMSC, RIKER'S ISLAND
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City | EAST ELMHURST
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State | NY
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Zip | 11370-1298
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Country | US
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Telephone | 718-546-7661
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Fax | 718-546-7678
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Provider Business Mailing Address
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Address Line | 19-19 HAZEN ST. RMSC, RIKER'S ISLAND
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City | EAST ELMHURST
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State | NY
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Zip | 11370
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Country | US
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Telephone | 718-546-7661
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Fax | 718-546-7678
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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 | F303319
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License Number State | NY
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