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General NPI Number Information
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NPI Number | 1225102577
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Entity Type | Individual
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Provider Name | TIMOTHY M CYMANSKI DC
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Gender | Male
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 08/25/2021
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Provider Practice Location Address
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Address Line | 2150 49TH ST N STE C
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City | ST PETERSBURG
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State | FL
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Zip | 33710-5237
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Country | US
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Telephone | 727-327-0721
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Fax | 727-327-2875
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Provider Business Mailing Address
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Address Line | 2150 49TH ST N STE C
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City | ST PETERSBURG
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State | FL
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Zip | 33710-5237
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Country | US
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Telephone | 727-327-0721
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Fax | 727-327-2875
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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 | 11014
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 5792
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH11014
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License Number State | FL
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