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General NPI Number Information
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NPI Number | 1063770733
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Entity Type | Individual
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Provider Name | CYNTHIA HANINGTON JENNINGS PT
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Gender | Female
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Dates
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Enumeration Date | 05/01/2012
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Last Update Date | 05/01/2012
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Provider Practice Location Address
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Address Line | 335 HIGHLAND AVE
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City | CHESHIRE
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State | CT
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Zip | 06410-2549
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Country | US
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Telephone | 201-699-9264
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Fax |
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Provider Business Mailing Address
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Address Line | 150 COLEMAN RD
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City | GLASTONBURY
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State | CT
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Zip | 06033-3660
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Country | US
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Telephone | 860-659-1942
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 005554
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License Number State | CT
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