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General NPI Number Information
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NPI Number | 1487628772
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Entity Type | Individual
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Provider Name | CYNTHIA MARIA BRYANT MD
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Gender | Female
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 695 KINKAID RD
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City | ANNAPOLIS
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State | MD
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Zip | 21402-1006
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Country | US
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Telephone | 410-293-1758
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Fax |
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Provider Business Mailing Address
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Address Line | 12045 CENTURY MANOR DR
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City | DUNKIRK
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State | MD
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Zip | 20754-9615
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Country | US
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Telephone | 210-827-4962
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101231608
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 0101231608
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License Number State | VA
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