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General NPI Number Information
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NPI Number | 1760037527
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Entity Type | Individual
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Provider Name | CINDY LEE CARRANZA RPH
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Gender | Female
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Dates
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Enumeration Date | 08/07/2019
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Last Update Date | 08/07/2019
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Provider Practice Location Address
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Address Line | 6001 39TH ST
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City | GROVES
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State | TX
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Zip | 77619-4651
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Country | US
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Telephone | 409-962-4432
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Fax |
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Provider Business Mailing Address
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Address Line | 2420 N BOURQUE CT
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City | NEDERLAND
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State | TX
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Zip | 77627-6351
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Country | US
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Telephone | 409-338-6068
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 30433
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License Number State | TX
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