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General NPI Number Information
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NPI Number | 1932924032
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Entity Type | Individual
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Provider Name | BETTSY CUNNINGHAM
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Gender | Female
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 2703 UNIVERSITY BLVD E
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City | TUSCALOOSA
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State | AL
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Zip | 35404-3226
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Country | US
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Telephone | 205-248-7064
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Fax |
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Provider Business Mailing Address
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Address Line | 309 COUNTY ROAD 30 W
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City | BERRY
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State | AL
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Zip | 35546-2279
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Country | US
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Telephone | 205-792-4676
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Fax |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 3065
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License Number State | AL
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