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General NPI Number Information
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NPI Number | 1437450822
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Entity Type | Individual
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Provider Name | JENNIFER S CECIL PA-C, MS
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Gender | Female
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Dates
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Enumeration Date | 11/16/2010
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Last Update Date | 11/16/2010
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Provider Practice Location Address
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Address Line | 216 WASHINGTON HEIGHTS MED CTR
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City | WESTMINSTER
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State | MD
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Zip | 21157-5665
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Country | US
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Telephone | 410-848-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 5 ALEXANDER CHASE APT B
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City | SPARKS
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State | MD
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Zip | 21152-9010
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Country | US
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Telephone | 443-212-5596
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | C0004321
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License Number State | MD
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