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General NPI Number Information
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NPI Number | 1164214656
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Entity Type | Organization
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Legal Business Name | CUMMINGS FAMILY DENTIST
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 309 PIRKLE FERRY RD STE 100
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City | CUMMING
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State | GA
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Zip | 30040-2545
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Country | US
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Telephone | 334-546-0151
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Fax |
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Provider Business Mailing Address
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Address Line | 2438 VIOLET LN
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City | DULUTH
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State | GA
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Zip | 30096-2104
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Country | US
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Telephone | 334-546-0151
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Fax | 470-219-5008
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Authorized Official
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Title or Position | MEMBER
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Name | DR. SAURIN PATEL
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Credential | DMD
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Telephone | 334-546-0151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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