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General NPI Number Information
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NPI Number | 1154374049
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Entity Type | Individual
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Provider Name | CYNTHIA M. NIENDORFF MD
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Gender | Female
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 102 DUNHILL PL NW
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City | CLEVELAND
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State | TN
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Zip | 37311
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Country | US
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Telephone | 423-339-9581
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Fax | 423-472-0454
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Provider Business Mailing Address
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Address Line | 102 DUNHILL PL NW
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City | CLEVELAND
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State | TN
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Zip | 37311-3885
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Country | US
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Telephone | 423-339-9581
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Fax | 423-472-0454
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 4942
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 49391
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 49391
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License Number State | TN
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