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General NPI Number Information
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NPI Number | 1861558751
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Entity Type | Individual
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Provider Name | CYNTHIA C LOYD BALDWIN
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Gender | Female
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 629 HIGHWAY 28 BYP
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City | ANDERSON
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State | SC
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Zip | 29624-3009
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Country | US
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Telephone | 864-642-0129
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Fax |
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Provider Business Mailing Address
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Address Line | 1090 NORTHCHASE PKWY SE
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City | MARIETTA
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State | GA
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Zip | 30067-6405
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Country | US
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Telephone | 864-642-0129
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2281
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License Number State | SC
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