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General NPI Number Information
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NPI Number | 1427095389
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Entity Type | Individual
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Provider Name | CYNTHIA MATTHES LOY LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 40 BARKLEY CIR STE 3
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City | FORT MYERS
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State | FL
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Zip | 33907-4518
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Country | US
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Telephone | 239-822-7880
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Fax | 866-411-8254
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Provider Business Mailing Address
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Address Line | 1861 WINKLER AVE
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City | FORT MYERS
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State | FL
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Zip | 33901-8652
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Country | US
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Telephone | 239-822-7880
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Fax | 866-418-2541
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | SW4431
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License Number State | FL
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