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General NPI Number Information
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NPI Number | 1174117501
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Entity Type | Individual
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Provider Name | REGINALD CUMMINGS R.PH., MBA
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Gender | Male
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Dates
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Enumeration Date | 02/25/2021
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Last Update Date | 02/25/2021
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Provider Practice Location Address
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Address Line | 1091 MILL CREEK RD
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City | ALLENTOWN
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State | PA
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Zip | 18106-9157
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Country | US
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Telephone | 610-530-2210
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Fax |
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Provider Business Mailing Address
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Address Line | 2640 N MYRTLEWOOD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19132-3041
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Country | US
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Telephone | 267-981-7999
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP044374L
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License Number State | PA
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