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General NPI Number Information
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NPI Number | 1346569399
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Entity Type | Individual
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Provider Name | CYNTHIA CHRISTINE HARRISON DPT
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Gender | Female
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Dates
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Enumeration Date | 05/28/2010
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Last Update Date | 12/15/2015
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Provider Practice Location Address
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Address Line | 1503 WASHINGTON LN
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City | AUGUSTA
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State | KS
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Zip | 67010-1638
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Country | US
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Telephone | 316-775-0700
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Fax | 316-775-0730
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Provider Business Mailing Address
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Address Line | 418 N ANDOVER RD SUITE 400
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City | ANDOVER
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State | KS
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Zip | 67002-8903
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Country | US
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Telephone | 316-733-0077
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Fax | 316-733-9007
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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