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General NPI Number Information
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NPI Number | 1508402819
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Entity Type | Individual
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Provider Name | ANASTASIA MAE CINTULA DDS
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Gender | Female
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Dates
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Enumeration Date | 11/21/2019
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 119 W 57TH ST STE 815
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City | NEW YORK
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State | NY
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Zip | 10019-2401
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Country | US
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Telephone | 212-974-8737
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Fax |
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Provider Business Mailing Address
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Address Line | 57 BELAIR RD
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City | STATEN ISLAND
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State | NY
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Zip | 10305-3003
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Country | US
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Telephone | 718-801-0545
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 061731
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License Number State | NY
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