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General NPI Number Information
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NPI Number | 1245717420
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Entity Type | Organization
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Legal Business Name | KARI A. CUNNINGHAM, DMD, LLC
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Dates
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Enumeration Date | 07/20/2018
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 26250 EUCLID AVE STE 203
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City | EUCLID
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State | OH
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Zip | 44132-3691
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Country | US
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Telephone | 216-938-8501
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Fax |
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Provider Business Mailing Address
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Address Line | 26250 EUCLID AVE STE 203
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City | EUCLID
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State | OH
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Zip | 44132-3691
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Country | US
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Telephone | 216-938-8501
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KARI A CUNNINGHAM
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Credential | DMD
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Telephone | 216-938-8501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 30.023203
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License Number State | OH
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