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General NPI Number Information
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NPI Number | 1669045985
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Entity Type | Individual
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Provider Name | JENNA SCINTA
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Gender | Female
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Dates
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Enumeration Date | 07/23/2021
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Last Update Date | 07/23/2021
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Provider Practice Location Address
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Address Line | 104 SPINK STREET
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City | WOOSTER
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State | OH
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Zip | 44691
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Country | US
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Telephone | 330-264-8498
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Fax | 330-264-3777
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Provider Business Mailing Address
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Address Line | 104 SPINK ST
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City | WOOSTER
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State | OH
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Zip | 44691-3652
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Country | US
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Telephone |
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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 | 405300000X
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Taxonomy Name | Prevention Professional
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License Number | RA.162678
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License Number State | OH
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