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General NPI Number Information
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NPI Number | 1740316116
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Entity Type | Individual
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Provider Name | CATHERINE A CUNAGIN MD
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 600 N ROBBINS RD SUITE 401
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City | BOISE
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State | ID
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Zip | 83702-4565
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Country | US
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Telephone | 208-706-2663
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Fax |
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Provider Business Mailing Address
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Address Line | 190 E BANNOCK ST
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City | BOISE
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State | ID
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Zip | 83712-6241
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Country | US
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Telephone | 208-381-2222
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | MD.203732
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | L-218172
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | M-11798
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 13244
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License Number State | WI
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