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General NPI Number Information
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NPI Number | 1841408663
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Entity Type | Organization
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Legal Business Name | MARK J. CERCIELLO M.D., P.C.
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 451 W CHEW ST SUITE 207
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City | ALLENTOWN
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State | PA
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Zip | 18102-3472
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Country | US
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Telephone | 610-821-2815
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Fax | 610-821-8031
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Provider Business Mailing Address
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Address Line | 451 W CHEW ST SUITE 207
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City | ALLENTOWN
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State | PA
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Zip | 18102-3472
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Country | US
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Telephone | 610-821-2815
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Fax | 610-821-8031
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Authorized Official
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Title or Position | MD
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Name | DR. MARK CERCIELLO
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Credential |
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Telephone | 610-821-2815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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