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General NPI Number Information
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NPI Number | 1801364997
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Entity Type | Individual
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Provider Name | CINDY MENA DAVIS PHD
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Gender | Female
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Dates
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Enumeration Date | 11/06/2018
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Last Update Date | 11/06/2018
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Provider Practice Location Address
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Address Line | 1708 W ROGERS AVE
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City | BALTIMORE
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State | MD
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Zip | 21209-4545
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Country | US
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Telephone | 410-578-5334
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Fax |
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Provider Business Mailing Address
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Address Line | 7320 MAJOR AVE
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City | NORFOLK
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State | VA
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Zip | 23505-3010
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Country | US
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Telephone |
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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 | 06148
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License Number State | MD
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