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General NPI Number Information
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NPI Number | 1841357423
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Entity Type | Organization
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Legal Business Name | DIANA P. CUNNINGHAM,PH.D. INC
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 2007 N COLLINS BLVD 401
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City | RICHARDSON
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State | TX
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Zip | 75080-2658
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Country | US
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Telephone | 972-907-9129
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Fax | 972-380-8262
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Provider Business Mailing Address
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Address Line | 2007 N COLLINS BLVD 401
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City | RICHARDSON
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State | TX
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Zip | 75080-2658
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Country | US
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Telephone | 972-907-9129
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Fax | 972-380-8262
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DIANA PINSON CUNNINGHAM
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Credential | PH.D.
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Telephone | 972-907-9129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 22371
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License Number State | TX
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