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General NPI Number Information
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NPI Number | 1295332526
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Entity Type | Individual
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Provider Name | ROBERT M. CUNNINGHAM JR. LMFT
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Gender | Male
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Dates
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Enumeration Date | 10/09/2020
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 127B N 7TH ST
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City | SALINA
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State | KS
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Zip | 67401-2603
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Country | US
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Telephone | 785-577-4631
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3242
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City | SALINA
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State | KS
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Zip | 67402-3242
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Country | US
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Telephone | 785-577-4631
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT03177-T
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT03251
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License Number State | KS
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