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General NPI Number Information
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NPI Number | 1427764349
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Entity Type | Individual
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Provider Name | AMY CHRISTINE CUNNINGHAM CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/24/2023
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 500 J CLYDE MORRIS BLVD
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-1929
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Country | US
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Telephone | 757-549-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 11712 JEFFERSON AVE STE C BOX 279
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4406
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024186300
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 0024186300
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License Number State | VA
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