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General NPI Number Information
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NPI Number | 1851106058
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Entity Type | Organization
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Legal Business Name | CEPA NP IN PSYCHIATRY PLLC
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 2402 BENSON AVE APT 3G
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City | BROOKLYN
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State | NY
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Zip | 11214-4342
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Country | US
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Telephone | 347-824-7377
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Fax |
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Provider Business Mailing Address
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Address Line | 2402 BENSON AVE APT 3G
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City | BROOKLYN
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State | NY
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Zip | 11214-4342
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Country | US
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Telephone | 347-824-7377
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NP
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Name | SAJMIR CEPA
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Credential | NP
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Telephone | 347-824-7377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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