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General NPI Number Information
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NPI Number | 1093442675
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Entity Type | Individual
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Provider Name | ALEXIS JONES CUMBERLAND LDN
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Gender | Female
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 1125 MARGUERITE ST
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City | MORGAN CITY
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State | LA
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Zip | 70380-1855
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Country | US
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Telephone | 985-380-4332
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Fax | 985-202-2622
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Provider Business Mailing Address
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Address Line | 1125 MARGUERITE ST
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City | MORGAN CITY
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State | LA
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Zip | 70380-1855
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Country | US
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Telephone | 985-380-4332
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Fax | 985-202-2622
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | 3414
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License Number State | LA
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