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General NPI Number Information
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NPI Number | 1285924738
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Entity Type | Individual
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Provider Name | CYNTHIA A. SHULL RPH
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Gender | Female
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Dates
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Enumeration Date | 04/17/2011
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Last Update Date | 08/31/2012
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Provider Practice Location Address
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Address Line | 338 W WASHINGTON ST
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City | BATH
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State | NY
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Zip | 14810-1024
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Country | US
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Telephone | 607-776-4747
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Fax |
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Provider Business Mailing Address
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Address Line | 34 TAYLOR ST
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City | HORNELL
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State | NY
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Zip | 14843-1814
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Country | US
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Telephone | 303-518-4898
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15151
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 052114
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 1757
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License Number State | AK
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | R1616
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License Number State | NH
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