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General NPI Number Information
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NPI Number | 1750300273
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Entity Type | Individual
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Provider Name | CYNTHIA M. MASHBURN APRN, BC, FNP
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Gender | Female
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 313 CLEVELAND ST
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City | RIPLEY
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State | TN
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Zip | 38063-1205
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Country | US
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Telephone | 731-635-6000
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Fax | 731-635-6010
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Provider Business Mailing Address
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Address Line | 313 CLEVELAND ST
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City | RIPLEY
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State | TN
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Zip | 38063-1205
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Country | US
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Telephone | 731-635-6000
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Fax | 731-635-6010
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 12055
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License Number State | TN
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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 | 12055
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License Number State | TN
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