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General NPI Number Information
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NPI Number | 1932269289
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Entity Type | Individual
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Provider Name | JEROME R CAIATI MD
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Gender | Male
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Dates
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Enumeration Date | 12/09/2006
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Last Update Date | 03/10/2012
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Provider Practice Location Address
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Address Line | 165 N VILLAGE AVE STE 134
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3763
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Country | US
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Telephone | 516-764-6605
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Fax | 516-764-6243
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Provider Business Mailing Address
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Address Line | PO BOX 198
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11571-0198
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Country | US
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Telephone | 516-764-6605
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Fax | 516-764-6243
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 1438231
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License Number State | NY
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