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General NPI Number Information
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NPI Number | 1811478985
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Entity Type | Individual
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Provider Name | TODD MICHAEL CUNNINGHAM
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Gender | Male
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 08/20/2019
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Provider Practice Location Address
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Address Line | 8370 W COAL MINE AVE STE 107
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City | LITTLETON
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State | CO
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Zip | 80123-4401
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Country | US
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Telephone | 720-242-6242
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Fax | 303-927-7811
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Provider Business Mailing Address
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Address Line | 8370 W COAL MINE AVE STE 107
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City | LITTLETON
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State | CO
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Zip | 80123-4401
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Country | US
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Telephone | 720-242-6242
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Fax | 303-927-7811
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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 | CHR.0007643
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License Number State | CO
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