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General NPI Number Information
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NPI Number | 1558492322
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Entity Type | Organization
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Legal Business Name | CYNTHIA V ALY- JEAN-PIERRE
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/04/2011
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Provider Practice Location Address
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Address Line | 517 FIFTH AVE
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City | PICAYUNE
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State | MS
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Zip | 39466-3203
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Country | US
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Telephone | 601-798-1512
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Fax | 601-798-0448
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Provider Business Mailing Address
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Address Line | 517 FIFTH AVE
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City | PICAYUNE
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State | MS
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Zip | 39466-3203
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Country | US
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Telephone | 601-798-1512
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Fax | 601-798-0448
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Authorized Official
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Title or Position | OWNER
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Name | DR. CYNTHIA VALERIE JEAN-PIERRE
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Credential | MD
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Telephone | 601-798-1512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 19428
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License Number State | MS
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