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NPI 1073524237

NPI 1073524237 : STUART L CUNNINGHAM DDS : CONCORD, NH

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General NPI Number Information
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    NPI Number           |    1073524237
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    Entity Type          |    Individual 
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    Provider Name        |    STUART L CUNNINGHAM DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/11/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    280 PLEASANT ST 
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    City                 |    CONCORD
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    State                |    NH
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    Zip                  |    03301-2553
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    Country              |    US
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    Telephone            |    603-225-5371
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    Fax                  |    603-225-5912
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Provider Business Mailing Address
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    Address Line         |    562 STICKNEY HILL RD 
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    City                 |    HOPKINTON
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    State                |    NH
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    Zip                  |    03229-2005
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    Country              |    US
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    Telephone            |    603-225-5371
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    Fax                  |    603-225-5912
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    2252
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    License Number State |    NH
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