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General NPI Number Information
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NPI Number | 1174078711
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Entity Type | Organization
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Legal Business Name | CYNTHIA WILLINGHAM MD PLLC
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Dates
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Enumeration Date | 08/24/2016
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 1730 NE PINE ISLAND RD
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City | CAPE CORAL
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State | FL
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Zip | 33909-1734
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Country | US
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Telephone | 239-355-2416
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1164
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City | FAYETTEVILLE
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State | TN
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Zip | 37334-1164
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Country | US
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Telephone | 931-993-9088
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | CYNTHIA A WILLINGHAM
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Credential | MD
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Telephone | 931-993-9088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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