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General NPI Number Information
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NPI Number | 1538115233
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Entity Type | Organization
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Legal Business Name | CYNTHIA PAPENDICK APRN BC INC
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1045 E FRONT ST SUITE B2
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City | BUCHANAN
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State | MI
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Zip | 49107-8474
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Country | US
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Telephone | 269-695-1113
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Fax | 269-695-0412
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Provider Business Mailing Address
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Address Line | 1045 E FRONT ST SUITE B2
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City | BUCHANAN
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State | MI
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Zip | 49107-8474
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Country | US
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Telephone | 269-695-1113
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Fax | 269-695-0412
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CYNTHIA JOY PAPENDICK
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Credential | APRN
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Telephone | 269-695-1113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 4704169270
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License Number State | MI
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