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General NPI Number Information
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NPI Number | 1932292000
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Entity Type | Organization
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Legal Business Name | CECERE & RUBINO INTERNAL MEDICINE ASSOCIATES, LLC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 05/13/2011
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Provider Practice Location Address
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Address Line | 1195 CLIFTON AVE
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City | CLIFTON
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State | NJ
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Zip | 07013-3621
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Country | US
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Telephone | 973-471-4004
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Fax | 973-471-1180
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Provider Business Mailing Address
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Address Line | 1195 CLIFTON AVE
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City | CLIFTON
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State | NJ
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Zip | 07013-3621
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Country | US
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Telephone | 973-471-4004
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Fax | 973-471-1180
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Authorized Official
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Title or Position | PHYSICAN
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Name | DR. ANTOINETTE CECERE
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Credential | MD.,F.A.C.P.
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Telephone | 973-471-4004
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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 | 0600154061
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License Number State | NJ
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