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General NPI Number Information
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NPI Number | 1205887908
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Entity Type | Individual
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Provider Name | CYNTHIA A MCGLOTHLEN NP
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Gender | Female
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 5300 STATE ROAD 64 STE 103
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City | GEORGETOWN
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State | IN
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Zip | 47122-9178
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Country | US
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Telephone | 812-923-6200
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Fax | 812-923-6204
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Provider Business Mailing Address
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Address Line | PO BOX 38
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City | CORYDON
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State | IN
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Zip | 47112-0038
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Country | US
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Telephone | 812-738-4251
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 71002152A
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License Number State | IN
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