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General NPI Number Information
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NPI Number | 1174188072
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Entity Type | Individual
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Provider Name | RICHARD JOHN CUNNINGHAM MD
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Gender | Male
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Dates
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Enumeration Date | 05/06/2019
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 911 BYPASS RD
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City | PIKEVILLE
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State | KY
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Zip | 41501-1602
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Country | US
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Telephone | 606-218-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 E ROOSEVELT ST
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City | PHOENIX
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State | AZ
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Zip | 85008-4973
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Country | US
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Telephone |
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | TP137
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License Number State | KY
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