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General NPI Number Information
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NPI Number | 1689714685
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Entity Type | Individual
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Provider Name | CYNTHIA ELIZABETH NICHOLSON-GUIDRY FNP
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 5068 W PLANO PKWY SUITE 300
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City | PLANO
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State | TX
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Zip | 75093
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Country | US
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Telephone | 972-248-9227
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Fax | 866-239-7695
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Provider Business Mailing Address
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Address Line | 5724 WILLOW WOOD LN
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City | DALLAS
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State | TX
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Zip | 75252-2661
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Country | US
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Telephone | 972-248-9227
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Fax | 866-239-7695
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 253087
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 253087
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License Number State | TX
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