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General NPI Number Information
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NPI Number | 1194452284
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Entity Type | Individual
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Provider Name | CYNTHIA AVERY
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Gender | Female
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 121A MISSISSIPPI DR
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City | WAYNESBORO
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State | MS
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Zip | 39367-3049
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Country | US
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Telephone | 601-410-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 231 GRAVEL HILL RD
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City | STATE LINE
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State | MS
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Zip | 39362-9517
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Country | US
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Telephone | 601-394-9810
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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 | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 374T00000X
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Taxonomy Name | Religious Nonmedical Nursing Personnel
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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