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General NPI Number Information
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NPI Number | 1740800028
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Entity Type | Organization
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Legal Business Name | JULIE CUNNINGHAM PSYCHIATRIC SERVICES PLLC
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Dates
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Enumeration Date | 04/16/2020
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Last Update Date | 04/16/2020
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Provider Practice Location Address
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Address Line | 17 WINDHAM RD
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City | PELHAM
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State | NH
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Zip | 03076-2371
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Country | US
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Telephone | 978-300-2089
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 848
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City | WINDHAM
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State | NH
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Zip | 03087-0848
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Country | US
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Telephone | 978-300-2089
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Fax |
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Authorized Official
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Title or Position | OWNER OF ENTITY
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Name | JULIE A CUNNINGHAM
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Credential |
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Telephone | 978-300-2089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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