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General NPI Number Information
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NPI Number | 1962798249
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Entity Type | Individual
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Provider Name | MICHAEL JOHN CULLURA D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/24/2011
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 401 N MAIN ST
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City | KENANSVILLE
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State | NC
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Zip | 28349-8801
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Country | US
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Telephone | 910-296-2773
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Fax |
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Provider Business Mailing Address
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Address Line | 7741 MARKET ST STE E
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City | WILMINGTON
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State | NC
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Zip | 28411-9444
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Country | US
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Telephone | 910-909-4561
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Fax | 910-912-1363
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2018-02091
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License Number State | NC
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