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General NPI Number Information
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NPI Number | 1104268838
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Entity Type | Individual
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Provider Name | ROBERT M CUNNINGHAM MB CHB MPH FACS
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Gender | Male
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 201 RIDGE ST STE 214
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-4643
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Country | US
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Telephone | 712-396-4320
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Fax | 712-396-4328
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Provider Business Mailing Address
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Address Line | PO BOX 3755
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City | OMAHA
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State | NE
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Zip | 68103-0755
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Country | US
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Telephone | 402-354-2200
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Fax | 402-354-2255
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD-52296
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License Number State | IA
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