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General NPI Number Information
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NPI Number | 1871637413
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Entity Type | Individual
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Provider Name | CYNTHIA E JENKINS WHNP
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 111 E 24TH AVE
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City | CORDELE
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State | GA
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Zip | 31015-3834
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Country | US
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Telephone | 229-276-2680
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Fax |
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Provider Business Mailing Address
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Address Line | 618 E 22ND AVE
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City | CORDELE
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State | GA
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Zip | 31015-1859
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Country | US
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Telephone | 229-276-2680
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RN032461
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License Number State | GA
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