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General NPI Number Information
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NPI Number | 1053741660
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Entity Type | Organization
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Legal Business Name | DR. SUSAN CUNNINGHAM, INC.
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Dates
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Enumeration Date | 11/18/2013
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Last Update Date | 11/18/2013
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Provider Practice Location Address
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Address Line | 4 SHERWOOD RD
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City | LEVITTOWN
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State | NY
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Zip | 11756-1525
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Country | US
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Telephone | 516-579-7099
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Fax |
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Provider Business Mailing Address
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Address Line | 4 SHERWOOD RD
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City | LEVITTOWN
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State | NY
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Zip | 11756-1525
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Country | US
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Telephone | 516-579-7099
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. SUSAN CUNNINGHAM
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Credential |
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Telephone | 516-579-7099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X5627-1
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License Number State | NY
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