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General NPI Number Information
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NPI Number | 1326383340
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Entity Type | Individual
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Provider Name | CYNTHIA DENIS DDS
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Gender | Female
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Dates
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Enumeration Date | 12/03/2012
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Last Update Date | 12/03/2012
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Provider Practice Location Address
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Address Line | 7924 SECOR RD
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City | LAMBERTVILLE
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State | MI
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Zip | 48144-9619
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Country | US
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Telephone | 734-856-3004
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 297
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City | LAMBERTVILLE
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State | MI
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Zip | 48144-0297
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Country | US
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Telephone | 734-856-3004
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901014395
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License Number State | MI
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