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General NPI Number Information
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NPI Number | 1376310441
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Entity Type | Individual
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Provider Name | ASHLEY LYNN CUNNINGHAM PMHNP
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Gender | Female
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Dates
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Enumeration Date | 12/07/2023
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 8506 SIX FORKS RD STE 202
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City | RALEIGH
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State | NC
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Zip | 27615-3260
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Country | US
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Telephone | 919-297-2762
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Fax | 910-500-5238
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Provider Business Mailing Address
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Address Line | 8506 SIX FORKS RD STE 202
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City | RALEIGH
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State | NC
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Zip | 27615-3260
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Country | US
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Telephone | 919-297-2762
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Fax | 910-500-5238
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 405545
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5019255
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1173778
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License Number State | TX
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