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General NPI Number Information
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NPI Number | 1811947211
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Entity Type | Individual
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Provider Name | CYNTHIA CARR M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 200 MERCY DR SUITE 106
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City | DUBUQUE
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State | IA
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Zip | 52001-7303
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Country | US
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Telephone | 563-589-8899
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Fax | 563-589-9900
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Provider Business Mailing Address
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Address Line | 530 WOODLAND RDG
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City | DUBUQUE
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State | IA
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Zip | 52003-6730
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Country | US
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Telephone | 563-556-0323
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 32970
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License Number State | IA
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