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General NPI Number Information
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NPI Number | 1003755620
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Entity Type | Individual
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Provider Name | JOSNEL CID
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Gender | Male
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Dates
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Enumeration Date | 03/27/2026
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 43 NEW SCOTLAND AVE
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City | ALBANY
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State | NY
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Zip | 12208-3412
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Country | US
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Telephone | 518-262-6488
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Fax |
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Provider Business Mailing Address
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Address Line | 301 E REDSTONE AVE UNIT 3105
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City | CRESTVIEW
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State | FL
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Zip | 32539-5379
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Country | US
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Telephone | 786-942-1412
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 65214
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License Number State |
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