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General NPI Number Information
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NPI Number | 1154327476
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Entity Type | Individual
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Provider Name | JORDAN MICHAEL CINER DPM
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 09/14/2009
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Provider Practice Location Address
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Address Line | 201 E 87TH ST APT 28AB
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City | NEW YORK
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State | NY
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Zip | 10128-3203
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Country | US
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Telephone | 212-289-8969
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Fax | 212-289-6003
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Provider Business Mailing Address
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Address Line | 201 EAST 87 STREET APT. 28AB
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City | NEW YORK
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State | NY
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Zip | 10128
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Country | US
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Telephone | 212-289-8969
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Fax | 212-289-6003
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N005488
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License Number State | NY
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