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General NPI Number Information
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NPI Number | 1780735597
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Entity Type | Organization
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Legal Business Name | CORDELL ASSOCIATES, LLC
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 6500 POE AVE STE 400
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City | DAYTON
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State | OH
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Zip | 45414-2527
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Country | US
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Telephone | 937-276-3356
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Fax | 937-276-9514
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Provider Business Mailing Address
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Address Line | 6500 POE AVE STE 400
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City | DAYTON
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State | OH
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Zip | 45414-2527
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Country | US
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Telephone | 937-276-3356
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Fax | 937-276-9514
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MARCY J GUNN
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Credential | PSYD
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Telephone | 937-276-3356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 5179
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License Number State | OH
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