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General NPI Number Information
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NPI Number | 1760685994
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Entity Type | Individual
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Provider Name | CYNTHIA SPRUNK WOLFE FNP
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Gender | Female
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2315 BECHELLI LN SUITE C
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City | REDDING
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State | CA
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Zip | 96002-0119
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Country | US
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Telephone | 530-223-0216
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Fax | 530-223-0235
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Provider Business Mailing Address
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Address Line | 15955 HIGHLAND CT
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City | REDDING
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State | CA
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Zip | 96001-9738
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Country | US
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Telephone | 530-241-6721
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Fax | 530-223-0235
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP10819
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License Number State | CA
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