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General NPI Number Information
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NPI Number | 1093669293
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Entity Type | Individual
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Provider Name | CYNTHIA CHAN FNP
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Gender | Female
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 550 ORCHARD PARK RD STE 110
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City | WEST SENECA
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State | NY
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Zip | 14224-2646
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Country | US
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Telephone | 716-650-5720
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Fax |
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Provider Business Mailing Address
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Address Line | 7626 PHOENIX PEAK ST
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City | LAS VEGAS
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State | NV
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Zip | 89166-5058
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 849214
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 820944
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License Number State | NY
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