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General NPI Number Information
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NPI Number | 1235075573
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Entity Type | Organization
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Legal Business Name | CYPRESS PT MANDEVILLE
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 5404 HIGHWAY 22 STE 200
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City | MANDEVILLE
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State | LA
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Zip | 70471-2518
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Country | US
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Telephone | 985-317-0566
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Fax | 985-317-0564
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Provider Business Mailing Address
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Address Line | 5404 HIGHWAY 22 STE 200
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City | MANDEVILLE
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State | LA
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Zip | 70471-2518
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Country | US
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Telephone | 985-317-0566
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Fax | 985-317-0564
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Authorized Official
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Title or Position | CREDENTIALING DIRECTOR
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Name | MRS. REBECCA MCCLUNG SPECHT
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Credential |
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Telephone | 985-466-1194
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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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