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General NPI Number Information
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NPI Number | 1225114036
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Entity Type | Organization
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Legal Business Name | LEWIS C. CUMMINGS M.D. APMC
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 09/07/2012
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Provider Practice Location Address
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Address Line | 435 HEYMANN BLVD
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City | LAFAYETTE
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State | LA
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Zip | 70503-2616
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Country | US
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Telephone | 337-237-1252
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Fax | 337-237-0733
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Provider Business Mailing Address
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Address Line | 435 HEYMANN BLVD
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City | LAFAYETTE
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State | LA
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Zip | 70503-2616
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Country | US
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Telephone | 337-237-1252
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Fax | 337-237-0733
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SHARON PLETCHER
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Credential |
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Telephone | 337-237-1252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD011209
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License Number State | LA
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