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General NPI Number Information
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NPI Number | 1790789519
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Entity Type | Individual
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Provider Name | CYNTHIA ANNE DODD APRN
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Gender | Female
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 112 HOSPITAL DR W
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-3406
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Country | US
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Telephone | 803-791-3580
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Fax |
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Provider Business Mailing Address
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Address Line | 109 HOLLINGWOOD DR
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City | COLUMBIA
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State | SC
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Zip | 29223-2927
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Country | US
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Telephone | 803-791-3580
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | APN 1749
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License Number State | SC
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