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General NPI Number Information
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NPI Number | 1780270579
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Entity Type | Individual
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Provider Name | CYNTHIA P EIGEN PHD
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Gender | Female
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Dates
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Enumeration Date | 12/15/2020
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Last Update Date | 12/15/2020
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Provider Practice Location Address
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Address Line | 85 MILL PLAIN RD
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City | FAIRFIELD
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State | CT
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Zip | 06824-5001
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Country | US
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Telephone | 203-246-1995
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Fax |
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Provider Business Mailing Address
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Address Line | 5 RUSTIC LN
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City | WESTPORT
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State | CT
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Zip | 06880-6340
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Country | US
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Telephone | 203-246-1995
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 002641
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License Number State | CT
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