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General NPI Number Information
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NPI Number | 1609189034
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Entity Type | Individual
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Provider Name | CYNTHIA LOU SEWELL BRENCHLEY APRN, FNP-C, AGACNP
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Gender | Female
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Dates
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Enumeration Date | 07/14/2010
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 221 W COLORADO BLVD. PAVILION II SUITE 800
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City | DALLAS
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State | TX
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Zip | 75208
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Country | US
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Telephone | 214-960-5681
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Fax | 214-947-2727
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Provider Business Mailing Address
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Address Line | 5605 N MACARTHUR BLVD STE 740
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City | IRVING
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State | TX
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Zip | 75038-2626
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Country | US
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Telephone | 214-960-5681
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Fax | 214-960-5681
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AP119641
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 221812
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 708964
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License Number State | TX
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