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General NPI Number Information
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NPI Number | 1902322902
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Entity Type | Individual
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Provider Name | SYDNEY JANAI CUNNINGHAM PMHNP
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Gender | Female
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 4255 WADE GREEN RD NW STE 414
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City | KENNESAW
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State | GA
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Zip | 30144-1763
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Country | US
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Telephone | 678-213-2194
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Fax | 678-922-7767
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Provider Business Mailing Address
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Address Line | 4255 WADE GREEN RD NW STE 414
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City | KENNESAW
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State | GA
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Zip | 30144-1763
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Country | US
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Telephone | 678-213-2194
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Fax | 678-922-7767
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN-NP239010
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN239010
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License Number State | GA
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