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General NPI Number Information
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NPI Number | 1215662655
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Entity Type | Individual
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Provider Name | JEZLYNNE DARICE CINTRON DC
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Gender | Female
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Dates
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Enumeration Date | 07/20/2022
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Last Update Date | 07/20/2022
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Provider Practice Location Address
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Address Line | 3218 COLLEGE ST
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City | NEWBERRY
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State | SC
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Zip | 29108-1638
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Country | US
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Telephone | 803-276-0019
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Fax |
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Provider Business Mailing Address
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Address Line | 130 LONGVIEW DR
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City | BOILING SPRINGS
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State | SC
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Zip | 29316-9141
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Country | US
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Telephone | 787-682-5733
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4839
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License Number State | SC
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