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General NPI Number Information
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NPI Number | 1780202408
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Entity Type | Individual
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Provider Name | CATHLEEN C CUNNINGHAM DC
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Gender | Female
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 07/09/2020
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Provider Practice Location Address
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Address Line | 2131 HWY 121 SUITE 300
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City | EULESS
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State | TX
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Zip | 76039
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Country | US
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Telephone | 817-477-6282
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Fax |
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Provider Business Mailing Address
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Address Line | 2613 VISTAVIEW DR
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City | CORINTH
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State | TX
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Zip | 76210-2756
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Country | US
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Telephone | 972-322-2447
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 14191
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License Number State | TX
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