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NPI Code Detail

MEDICARE: CYNTHIA SUE NEWMAN

MEDICARE:   CYNTHIA SUE NEWMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1124239348
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA SUE NEWMAN
Provider Business Mailing Address
First Line : 1428 NW 45TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73118-4810
Country : US
Telephone Number : 405-620-6479
Fax Number :
Provider Business Practice Location Address
First Line : 1428 NW 45TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73118-4810
Country : US
Telephone Number : 405-620-6479
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2007
Last Update Date : 07/08/2007

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Directions to “ CYNTHIA SUE NEWMAN ” Practice Location

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