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General NPI Number Information
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NPI Number | 1144613308
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Entity Type | Individual
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Provider Name | CYNTHIA DAH DNP-FNP-C, RN
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Gender | Female
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | HWY 98 NAVAJO ROUTE 16
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City | SHONTO
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State | AZ
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Zip | 86054
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Country | US
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Telephone | 928-672-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 317 N HARRISON ST
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City | BERRIEN SPRINGS
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State | MI
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Zip | 49103-1004
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Country | US
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Telephone | 269-815-0330
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 782837
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4704261309
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 613142
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041416245
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704261309
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 55771
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License Number State | NM
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Taxonomy #7
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 55771
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License Number State | NM
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Taxonomy #8
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 224123
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License Number State | AK
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