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General NPI Number Information
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NPI Number | 1982929816
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Entity Type | Organization
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Legal Business Name | CANCER SCREENING CENTERS INC
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Dates
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Enumeration Date | 04/03/2010
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Last Update Date | 04/11/2010
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Provider Practice Location Address
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Address Line | 9 CASTLE HILL RD
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City | PAWCATUCK
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State | CT
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Zip | 06379-1958
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Country | US
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Telephone | 860-303-9000
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Fax | 860-599-3479
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Provider Business Mailing Address
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Address Line | 89 CASTLE HILL RD
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City | PAWCATUCK
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State | CT
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Zip | 06379-1978
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Country | US
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Telephone | 860-303-9000
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Fax | 860-599-3479
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Authorized Official
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Title or Position | OWNER
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Name | DR. CLARISSE D CLEMONS FERRARA
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Credential | MD
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Telephone | 860-303-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 048178
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 048178
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License Number State | CT
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