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NPI Code Detail

MEDICARE: MS. CYNTHIA DAY

MEDICARE: MS. CYNTHIA DAY
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
1177F00000XLodging Provider

General Provider Information

NPI Number : 1265660492
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CYNTHIA DAY
Provider Business Mailing Address
First Line : 3934 1ST AVE S APT 10
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55409-1672
Country : US
Telephone Number : 612-824-4785
Fax Number :
Provider Business Practice Location Address
First Line : 3934 1ST AVE S APT 10
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55409-1672
Country : US
Telephone Number : 612-824-4785
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2009
Last Update Date : 06/25/2009

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