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General NPI Number Information
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NPI Number | 1730876509
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Entity Type | Organization
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Legal Business Name | CYNLOU, INC,
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Dates
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Enumeration Date | 04/20/2023
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 4850 N STATE ROAD 7 STE 101
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5807
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Country | US
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Telephone | 954-581-9968
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Fax |
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Provider Business Mailing Address
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Address Line | 4850 N STATE ROAD 7 STE 101
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5807
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Country | US
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Telephone | 954-581-9968
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS CYNTHIA BAKER
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Credential |
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Telephone | 954-401-5133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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