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General NPI Number Information
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NPI Number | 1588843155
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Entity Type | Organization
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Legal Business Name | CYNTHIA Y. LIDY DBA WE CARE MORE II FAMILY CLINIC
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 2110 A N. SANTA FE AVE
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City | COMPTON
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State | CA
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Zip | 90222
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Country | US
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Telephone | 310-637-7131
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Fax | 310-637-7172
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Provider Business Mailing Address
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Address Line | PO BOX 481
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City | LYNWOOD
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State | CA
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Zip | 90262-0481
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Country | US
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Telephone | 310-637-7131
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Fax | 310-637-7172
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Authorized Official
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Title or Position | OWNER, FNP
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Name | MRS. CYNTHIA Y LIDY
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Credential | FNP
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Telephone | 310-637-7131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ND9478
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | FNP9478
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License Number State | CA
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