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General NPI Number Information
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NPI Number | 1588540637
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Entity Type | Individual
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Provider Name | EMMA ANNE CUNNEA
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Gender | Female
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 820 S DAMEN AVE
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City | CHICAGO
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State | IL
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Zip | 60612-3728
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Country | US
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Telephone | 312-569-8387
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Fax |
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Provider Business Mailing Address
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Address Line | 10544 S KEELER AVE
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City | OAK LAWN
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State | IL
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Zip | 60453-4902
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Country | US
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Telephone | 708-834-3101
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 242.0183129
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License Number State | IL
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