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General NPI Number Information
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NPI Number | 1942276829
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Entity Type | Individual
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Provider Name | CYNTHIA KAY RECTOR MD
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Gender | Female
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 665 S JEFFERSON AVE
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City | COOKEVILLE
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State | TN
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Zip | 38501-4011
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Country | US
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Telephone | 315-280-0051
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Fax |
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Provider Business Mailing Address
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Address Line | 3539 PIPPIN RD
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City | COOKEVILLE
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State | TN
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Zip | 38501-7815
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Country | US
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Telephone | 931-979-2905
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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 | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | 24725
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 53432
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2024-03077
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD 24725
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD 24725
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License Number State | TN
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