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General NPI Number Information
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NPI Number | 1053699884
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Entity Type | Individual
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Provider Name | CYNTHIA GNECO WILAMO MD
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Gender | Female
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Dates
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Enumeration Date | 07/27/2011
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 7800 SHOAL CREEK BLVD STE 118W
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City | AUSTIN
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State | TX
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Zip | 78757-1007
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Country | US
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Telephone | 612-407-8880
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Fax | 512-407-8681
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Provider Business Mailing Address
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Address Line | 601 S HARBOUR ISLAND BLVD STE 200
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City | TAMPA
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State | FL
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Zip | 33602-5925
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Country | US
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Telephone | 800-480-5243
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Fax | 800-928-7449
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R2599
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 052727
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | R2599
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License Number State | TX
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