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General NPI Number Information
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NPI Number | 1700841293
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Entity Type | Individual
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Provider Name | CYNTHIA WALTER CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 04/23/2020
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Provider Practice Location Address
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Address Line | 323 SUNSET DRIVE SUITE 2
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City | BUTLER
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State | PA
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Zip | 16001
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Country | US
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Telephone | 724-282-2730
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Fax | 724-282-3004
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Provider Business Mailing Address
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Address Line | PO BOX 3510
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City | PITTSBURGH
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State | PA
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Zip | 15230-3510
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Country | US
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Telephone | 724-282-2730
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Fax | 724-282-3004
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN299817L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | VP003306G
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License Number State | PA
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