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General NPI Number Information
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NPI Number | 1578654901
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Entity Type | Individual
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Provider Name | CATHERINE M. CUNNINGHAM M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 505 E BROAD ST
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City | WESTFIELD
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State | NJ
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Zip | 07090-2190
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Country | US
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Telephone | 908-232-0808
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Fax | 908-232-5455
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Provider Business Mailing Address
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Address Line | 297 HIGH TOR DR
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City | WATCHUNG
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State | NJ
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Zip | 07069-5435
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Country | US
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Telephone | 908-232-0808
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Fax | 908-232-5455
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 63762
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License Number State | NJ
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