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General NPI Number Information
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NPI Number | 1861080269
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Entity Type | Organization
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Legal Business Name | CUNNINGHAM MEDICAL GROUP LLC
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Dates
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Enumeration Date | 01/02/2021
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 1100 S COLLEGE ST STE 108C
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City | AUBURN
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State | AL
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Zip | 36832-7224
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Country | US
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Telephone | 334-209-1061
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Fax | 334-209-1032
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Provider Business Mailing Address
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Address Line | 609 LEE ROAD 2038
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City | NOTASULGA
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State | AL
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Zip | 36866-2239
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Country | US
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Telephone | 256-263-0162
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | RICHARD RAY CUNNINGHAM
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Credential | DO
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Telephone | 256-263-0162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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