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General NPI Number Information
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NPI Number | 1588748305
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Entity Type | Individual
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Provider Name | CYNTHIA MEHLIN PA
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10 E 31ST ST
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City | KEARNEY
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State | NE
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Zip | 68847-2926
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Country | US
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Telephone | 308-865-7100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 725
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City | KEARNEY
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State | NE
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Zip | 68848-0725
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Country | US
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Telephone | 308-865-7181
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 708
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License Number State | NE
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