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General NPI Number Information
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NPI Number | 1760811897
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Entity Type | Individual
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Provider Name | CYNTHIA R CHERRY NP-C
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Gender | Female
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Dates
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Enumeration Date | 11/08/2013
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Last Update Date | 04/09/2014
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Provider Practice Location Address
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Address Line | 600 MOYE BLVD
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City | GREENVILLE
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State | NC
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Zip | 27834-4300
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Country | US
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Telephone | 252-744-3326
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Fax | 252-744-3418
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Provider Business Mailing Address
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Address Line | 79 RIDGECREST DR
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City | CHOCOWINITY
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State | NC
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Zip | 27817-8256
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Country | US
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Telephone | 252-721-0999
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 146036
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License Number State | NC
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