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NPI 1083571137

NPI 1083571137 : MANDY LYNNE CUTSHAW FNP-BC : SYLVA, NC

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General NPI Number Information
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    NPI Number           |    1083571137
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    Entity Type          |    Individual 
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    Provider Name        |    MANDY LYNNE CUTSHAW FNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/08/2026
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    Last Update Date     |    01/08/2026
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Provider Practice Location Address
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    Address Line         |    90 E MAIN ST STE 2 
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    City                 |    SYLVA
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    State                |    NC
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    Zip                  |    28779-3030
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    Country              |    US
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    Telephone            |    828-377-1114
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    Fax                  |    828-377-1119
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Provider Business Mailing Address
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    Address Line         |    121 CULVIN CREEK RD 
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    City                 |    MARSHALL
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    State                |    NC
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    Zip                  |    28753-4763
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    303415
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    License Number State |    NC
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