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General NPI Number Information
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NPI Number | 1730416835
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Entity Type | Individual
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Provider Name | CYNTHIA P KING
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Gender | Female
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Dates
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Enumeration Date | 11/10/2009
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Last Update Date | 11/10/2009
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Provider Practice Location Address
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Address Line | 1 KENSINGTON GATE APT 105
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City | GREAT NECK
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State | NY
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Zip | 11021-1228
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Country | US
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Telephone | 516-510-5736
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Fax | 888-337-1274
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Provider Business Mailing Address
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Address Line | 1 KENSINGTON GATE APT 105
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City | GREAT NECK
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State | NY
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Zip | 11021-1228
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Country | US
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Telephone | 516-510-5736
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Fax | 888-337-1274
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 095265
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License Number State | NY
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