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General NPI Number Information
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NPI Number | 1619487592
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Entity Type | Individual
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Provider Name | CYNTHIA ANN GIAMINELLI MEIGEL LPTA
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Gender | Female
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Dates
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Enumeration Date | 10/05/2017
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Last Update Date | 10/05/2017
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Provider Practice Location Address
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Address Line | 4225 SHORE DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-2870
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Country | US
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Telephone | 757-460-8868
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Fax |
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Provider Business Mailing Address
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Address Line | 4236 BUTTONWOOD CT
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-4906
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Country | US
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Telephone | 757-515-3457
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2306000671
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License Number State | VA
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