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General NPI Number Information
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NPI Number | 1851371801
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Entity Type | Individual
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Provider Name | CORAZON CIPRIASO MD
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Gender | Female
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 07/22/2022
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Provider Practice Location Address
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Address Line | 1 TANGLEWOOD PL E
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City | MONROE TWP
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State | NJ
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Zip | 08831-3268
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Country | US
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Telephone | 908-601-5296
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Fax | 866-506-2790
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Provider Business Mailing Address
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Address Line | PO BOX 790
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City | OLD BRIDGE
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State | NJ
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Zip | 08857-0790
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Country | US
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Telephone | 732-492-8241
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Fax | 888-685-8722
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 25MA07358200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 25MA07358200
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License Number State | NJ
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