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General NPI Number Information
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NPI Number | 1609011196
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Entity Type | Individual
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Provider Name | CINDY THOMAS CFM
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Gender | Female
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Dates
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Enumeration Date | 12/11/2008
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Last Update Date | 12/11/2008
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Provider Practice Location Address
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Address Line | 1705 COFFEE RD SUITE 3
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City | MODESTO
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State | CA
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Zip | 95355-2809
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Country | US
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Telephone | 209-550-0100
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Fax | 209-550-0117
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Provider Business Mailing Address
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Address Line | 693 HI TECH PKWY
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City | OAKDALE
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State | CA
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Zip | 95361-9113
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Country | US
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Telephone | 209-845-8231
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Fax | 209-845-2883
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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 | 225000000X
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Taxonomy Name | Orthotic Fitter
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License Number | CFM00776
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License Number State | CA
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