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General NPI Number Information
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NPI Number | 1700449329
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Entity Type | Organization
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Legal Business Name | CYCLE 8 HEALTH CARE, LLC
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Dates
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Enumeration Date | 04/18/2019
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 2570 BAILEY AVE STE 7
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City | JACKSON
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State | MS
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Zip | 39213-6905
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Country | US
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Telephone | 601-502-3009
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Fax | 769-251-1503
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Provider Business Mailing Address
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Address Line | 2570 BAILEY AVE STE 7
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City | JACKSON
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State | MS
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Zip | 39213-6905
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Country | US
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Telephone | 601-502-3009
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | DR. MONIQUE D PENDLETON
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Credential | CFNP, DNP
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Telephone | 601-502-3009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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