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General NPI Number Information
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NPI Number | 1841899986
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Entity Type | Individual
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Provider Name | CYNTHIA HRDLICHKA LPC P2306026
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Gender | Female
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Dates
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Enumeration Date | 10/20/2020
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 221 N EAST AVE STE 104
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-5226
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Country | US
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Telephone | 479-549-7295
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Fax |
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Provider Business Mailing Address
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Address Line | 608 N ROCKCLIFF RD
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-3814
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Country | US
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Telephone | 501-232-3058
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P2306026
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License Number State | AR
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