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General NPI Number Information
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NPI Number | 1841250719
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Entity Type | Individual
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Provider Name | CYNTHIA ANN FORSTHOFF M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2653 ELM AVE STE 300
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City | LONG BEACH
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State | CA
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Zip | 90806-1652
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Country | US
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Telephone | 562-595-7335
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Fax | 562-427-3375
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Provider Business Mailing Address
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Address Line | 2650 ELM AVE STE 301
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City | LONG BEACH
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State | CA
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Zip | 90806-1651
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Country | US
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Telephone | 562-595-7335
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Fax | 562-988-1655
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | G59518
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License Number State | CA
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