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General NPI Number Information
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NPI Number | 1346125861
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Entity Type | Individual
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Provider Name | CORA CIELINSKI
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Gender |
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 4622 JERICHO RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-2225
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Country | US
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Telephone | 757-648-3320
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Fax |
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Provider Business Mailing Address
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Address Line | 4521 HELM DR APT 108
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-4660
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Country | US
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Telephone | 320-292-0412
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202011899
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License Number State | VA
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