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General NPI Number Information
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NPI Number | 1497033963
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Entity Type | Individual
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Provider Name | CYNTHIA M MANI FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/01/2011
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Last Update Date | 08/01/2011
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Provider Practice Location Address
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Address Line | 6812 HARRISBURG BLVD
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City | HOUSTON
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State | TX
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Zip | 77011-4626
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Country | US
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Telephone | 713-715-4460
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Fax | 713-715-4465
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Provider Business Mailing Address
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Address Line | 300 E JOHN CARPENTER FWY # 850
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City | IRVING
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State | TX
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Zip | 75062-2727
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Country | US
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Telephone | 972-957-3000
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 712588
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License Number State | TX
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