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General NPI Number Information
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NPI Number | 1306019898
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Entity Type | Organization
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Legal Business Name | ELLIOT CINTRON ENTERPRISES PA
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Dates
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Enumeration Date | 04/07/2008
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Last Update Date | 12/06/2011
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Provider Practice Location Address
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Address Line | 1875 N CORPORATE LAKES BLVD SUITE300
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City | WESTON
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State | FL
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Zip | 33326-3270
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Country | US
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Telephone | 954-384-7115
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Fax | 954-384-7141
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Provider Business Mailing Address
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Address Line | 1875 N CORPORATE LAKES BLVD SUITE300
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City | WESTON
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State | FL
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Zip | 33326-3270
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Country | US
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Telephone | 954-384-7115
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Fax | 954-384-7141
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELLIOT CINTRON
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Credential | DC
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Telephone | 954-384-7115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | CH7663
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License Number State | FL
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