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General NPI Number Information
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NPI Number | 1174806608
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Entity Type | Organization
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Legal Business Name | CYNTHIA L. LOPEZ MD PA
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Dates
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Enumeration Date | 09/21/2011
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Last Update Date | 02/21/2012
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Provider Practice Location Address
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Address Line | 845 A JOHNS HOPKINS DR
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City | GREENVILLE
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State | NC
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Zip | 27834-7200
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Country | US
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Telephone | 252-413-2222
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Fax | 252-413-6171
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Provider Business Mailing Address
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Address Line | 845 A JOHNS HOPKINS DR
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City | GREENVILLE
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State | NC
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Zip | 27834-7200
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Country | US
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Telephone | 252-413-2222
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Fax | 252-413-6171
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CYNTHIA L LOPEZ
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Credential | MD
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Telephone | 252-413-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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