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General NPI Number Information
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NPI Number | 1689363392
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Entity Type | Individual
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Provider Name | CYNTHIA ADAMS MA, PRACTIONER
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Gender | Female
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 05/08/2023
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Provider Practice Location Address
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Address Line | 5721 W BELL RD STE. 25
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City | GLENDALE
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State | AZ
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Zip | 85308
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Country | US
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Telephone | 602-642-3762
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Fax |
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Provider Business Mailing Address
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Address Line | 19437 N 67TH DR
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City | GLENDALE
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State | AZ
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Zip | 85308-5510
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Country | US
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Telephone | 602-642-3762
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Fax | 623-440-3504
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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