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General NPI Number Information
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NPI Number | 1699761874
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Entity Type | Individual
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Provider Name | DOUGLAS ELI CUNNINGHAM DPM
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Gender | Male
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 812 STATE RD
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City | CHERAW
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State | SC
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Zip | 29520-2130
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Country | US
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Telephone | 843-537-0961
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Fax | 843-537-0908
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Provider Business Mailing Address
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Address Line | PO BOX 1090
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City | HARTSVILLE
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State | SC
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Zip | 29551-1090
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Country | US
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Telephone | 843-857-0111
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Fax | 843-309-8126
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 522
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 522
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License Number State | SC
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