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General NPI Number Information
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NPI Number | 1669111258
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Entity Type | Individual
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Provider Name | CINDY LEE DULANEY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 06/01/2022
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Provider Practice Location Address
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Address Line | 1201 HIGHWAY D
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City | FREDERICKTOWN
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State | MO
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Zip | 63645-7720
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Country | US
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Telephone | 573-783-1868
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 HIGHWAY D
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City | FREDERICKTOWN
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State | MO
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Zip | 63645-7720
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Country | US
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Telephone | 573-783-1868
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2022009274
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License Number State | MO
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