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General NPI Number Information
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NPI Number | 1598918633
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Entity Type | Organization
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Legal Business Name | CYNTHIA BROWN MANNING MD, APMC
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Dates
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Enumeration Date | 11/03/2008
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Last Update Date | 11/04/2008
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Provider Practice Location Address
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Address Line | 1825 NORTH 18TH ST SUITE B
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City | MONROE
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State | LA
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Zip | 71201
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Country | US
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Telephone | 318-324-0857
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 N 18TH ST STE B
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City | MONROE
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State | LA
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Zip | 71201-4420
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Country | US
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Telephone | 318-324-0857
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. CYNTHIA LOUISA BROWN-MANNING
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Credential | M.D.
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Telephone | 318-324-0857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 023947
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License Number State | LA
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