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General NPI Number Information
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NPI Number | 1073719266
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Entity Type | Individual
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Provider Name | CYNTHIA LOU NEAL MSN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 715 HORIZON DR SUITE 200
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-8700
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Country | US
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Telephone | 970-241-7484
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Fax |
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Provider Business Mailing Address
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Address Line | 2176 BUFFALO DR
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City | GRAND JUNCTION
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State | CO
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Zip | 81503-2512
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Country | US
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Telephone | 970-245-6212
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 66285
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License Number State | CO
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