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General NPI Number Information
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NPI Number | 1366840548
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Entity Type | Individual
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Provider Name | CYNTHIA MCMAKEN APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 12/20/2014
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 360 WILSON DR
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City | XENIA
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State | OH
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Zip | 45385-1810
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Country | US
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Telephone | 937-708-3400
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Fax | 937-708-3430
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Provider Business Mailing Address
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Address Line | 2300 N LIMESTONE ST STE 120
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City | SPRINGFIELD
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State | OH
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Zip | 45503-1102
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Country | US
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Telephone | 937-504-8390
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Fax | 937-504-8399
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.16893-NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.16893
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License Number State | OH
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