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General NPI Number Information
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NPI Number | 1134489560
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Entity Type | Individual
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Provider Name | JOLIE M CUMMINGS M.S. CCC
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Gender | Female
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Dates
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Enumeration Date | 05/18/2012
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Last Update Date | 05/18/2012
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Provider Practice Location Address
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Address Line | 2625 S.W. 3 AVENUE
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City | MIAMI
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State | FL
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Zip | 33129
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Country | US
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Telephone | 305-854-3282
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Fax | 305-854-3268
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Provider Business Mailing Address
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Address Line | 150 SANS SOUCI DRIVE
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City | CORAL GABLES
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State | FL
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Zip | 33133-6727
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Country | US
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Telephone | 305-666-1347
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Fax | 305-666-4498
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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 | SI1959
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License Number State | FL
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