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General NPI Number Information
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NPI Number | 1417356593
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Entity Type | Individual
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Provider Name | CYNTHIA GAHAGAN
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Gender | Female
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 03/31/2019
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Provider Practice Location Address
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Address Line | 3326 FRONT ST STE D
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City | WINNSBORO
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State | LA
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Zip | 71295-6406
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Country | US
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Telephone | 318-435-9681
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Fax | 318-435-9065
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Provider Business Mailing Address
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Address Line | 47 WINCHESTER CIR
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City | MONROE
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State | LA
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Zip | 71203-6626
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Country | US
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Telephone | 318-343-7316
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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 | 18602
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License Number State | LA
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