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General NPI Number Information
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NPI Number | 1902646573
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Entity Type | Organization
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Legal Business Name | GEORGE P CERNIGLIA A PROFESSIONAL DENTAL CORPORATION
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Dates
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Enumeration Date | 05/30/2024
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 3320 HESSMER AVE
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City | METAIRIE
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State | LA
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Zip | 70002-4727
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Country | US
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Telephone | 504-454-5880
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Fax | 504-454-8332
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Provider Business Mailing Address
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Address Line | 3320 HESSMER AVE
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City | METAIRIE
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State | LA
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Zip | 70002-4727
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Country | US
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Telephone | 504-454-5880
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Fax | 504-454-8332
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. GEORGE P CERNIGLIA
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Credential | DDS
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Telephone | 504-454-5880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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