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General NPI Number Information
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NPI Number | 1700367091
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Entity Type | Individual
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Provider Name | CYNTHIA HINSON CARROLL NP-C
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Gender | Female
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Dates
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Enumeration Date | 08/24/2018
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Last Update Date | 05/01/2020
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Provider Practice Location Address
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Address Line | 45 HURT ST
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City | TREZEVANT
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State | TN
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Zip | 38258-2505
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Country | US
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Telephone | 731-669-3863
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Fax | 731-669-3864
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Provider Business Mailing Address
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Address Line | 45 HURT ST
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City | TREZEVANT
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State | TN
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Zip | 38258-2505
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Country | US
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Telephone | 731-207-0323
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Fax | 731-240-8065
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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 | 24579
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License Number State | TN
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