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General NPI Number Information
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NPI Number | 1639967417
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Entity Type | Individual
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Provider Name | REGINA LYNN CUNNINGHAM
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Gender | Female
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 605 E OHIO AVE
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City | SEBRING
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State | OH
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Zip | 44672-1643
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Country | US
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Telephone | 330-537-4661
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Fax |
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Provider Business Mailing Address
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Address Line | 107 ROYAL BIRKDALE DR STE A
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City | COLUMBIANA
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State | OH
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Zip | 44408-8493
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Country | US
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Telephone | 330-482-9350
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Fax | 330-482-2336
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.00358790
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License Number State | OH
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