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General NPI Number Information
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NPI Number | 1598122749
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Entity Type | Individual
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Provider Name | CINTIA HENRIQUES HULTZ PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/19/2016
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1217 S MILITARY TRL STE C
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-4600
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Country | US
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Telephone | 561-642-6309
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Fax |
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Provider Business Mailing Address
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Address Line | 15226 71ST DR N
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City | WEST PALM BEACH
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State | FL
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Zip | 33418-1939
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Country | US
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Telephone | 954-263-1257
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9109327
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9109327
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License Number State | FL
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