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General NPI Number Information
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NPI Number | 1073073201
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Entity Type | Individual
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Provider Name | LAURA A CUMMINGS DO
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Gender | Female
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Dates
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Enumeration Date | 03/22/2019
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Last Update Date | 07/22/2022
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Provider Practice Location Address
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Address Line | 462 COMMERCE DRIVE
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City | GREENSBURG
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State | KY
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Zip | 42743-1402
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Country | US
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Telephone | 270-932-2522
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Fax | 270-932-2424
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Provider Business Mailing Address
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Address Line | PO BOX 1080
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City | BURKESVILLE
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State | KY
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Zip | 42717-1080
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Country | US
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Telephone | 270-864-1472
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Fax | 270-864-1693
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 5219
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License Number State | KY
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