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General NPI Number Information
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NPI Number | 1750505442
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Entity Type | Individual
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Provider Name | CYNTHIA PEREZ MANGUBAT MD
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 3315 N. SEMINARY ST. STE 206 207 208
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City | GALESBURG
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State | IL
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Zip | 61401-1251
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Country | US
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Telephone | 309-344-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 549 ARNOLD ST
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City | GALESBURG
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State | IL
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Zip | 61401-4005
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Country | US
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Telephone | 302-423-8992
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Fax |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036154576
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | C1-0008313
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License Number State | DE
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