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General NPI Number Information
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NPI Number | 1093669327
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Entity Type | Individual
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Provider Name | CHRISTINE M CUMMINGS
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Gender | Female
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 3201 MORADA LN
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City | STOCKTON
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State | CA
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Zip | 95212-3110
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Country | US
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Telephone | 209-955-1477
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Fax |
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Provider Business Mailing Address
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Address Line | 1611 ARGONNE DR
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City | STOCKTON
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State | CA
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Zip | 95203-1552
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Country | US
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Telephone | 209-986-6796
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 4719
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License Number State | CA
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