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General NPI Number Information
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NPI Number | 1033427182
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Entity Type | Individual
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Provider Name | CYNTHIA ANN POWELL PSYD
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Gender | Female
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Dates
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Enumeration Date | 09/22/2010
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Last Update Date | 10/13/2016
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Provider Practice Location Address
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Address Line | 606 WADE AVE STE 100
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City | RALEIGH
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State | NC
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Zip | 27605
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Country | US
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Telephone | 919-443-2360
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Fax | 818-861-3321
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Provider Business Mailing Address
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Address Line | 606 WADE AVE STE 100
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City | RALEIGH
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State | NC
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Zip | 27605
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Country | US
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Telephone | 919-443-2360
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Fax | 818-861-3321
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC001393
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4766
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License Number State | NC
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