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General NPI Number Information
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NPI Number | 1104818145
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Entity Type | Organization
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Legal Business Name | DALE P. CUNNINGHAM MD, PC
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 3265 W SARAZENS CIR SUITE 101
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City | MEMPHIS
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State | TN
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Zip | 38125-0806
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Country | US
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Telephone | 901-291-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 3265 W SARAZENS CIR SUITE 101
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City | MEMPHIS
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State | TN
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Zip | 38125-0806
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Country | US
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Telephone | 901-291-2400
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Fax |
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Authorized Official
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Title or Position | MANAGER DIRECTOR
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Name | DR. DALE P CUNNINGHAM
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Credential | MD
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Telephone | 901-291-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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