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General NPI Number Information
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NPI Number | 1275636490
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Entity Type | Individual
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Provider Name | CYNTHIA LEE MORIN CRNP
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Gender | Female
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 280 17TH ST
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City | OAKLAND
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State | CA
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Zip | 94612-4124
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Country | US
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Telephone | 510-410-4589
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Fax |
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Provider Business Mailing Address
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Address Line | 5966 ZINN DR
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City | OAKLAND
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State | CA
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Zip | 94611-2654
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Country | US
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Telephone | 510-381-9479
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95011344
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License Number State | CA
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