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General NPI Number Information
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NPI Number | 1215857362
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Entity Type | Individual
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Provider Name | JOSEPH CIMINO
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Gender | Male
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 9330 STATE ROAD 54
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City | TRINITY
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State | FL
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Zip | 34655-1808
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Country | US
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Telephone | 727-834-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 12484 POPLAR AVE
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City | BROOKSVILLE
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State | FL
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Zip | 34614-1946
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Country | US
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Telephone | 352-540-1823
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9389593
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License Number State | FL
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