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General NPI Number Information
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NPI Number | 1225489529
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Entity Type | Individual
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Provider Name | AARON JONES CUMMINS PMHNP
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Gender | Male
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Dates
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Enumeration Date | 06/28/2016
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Last Update Date | 09/04/2020
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Provider Practice Location Address
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Address Line | 5424 W HIGHWAY 290 STE 108
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City | AUSTIN
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State | TX
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Zip | 78735-8827
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Country | US
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Telephone | 432-638-9059
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Fax |
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Provider Business Mailing Address
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Address Line | 2203 LARAMIE TRL
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City | AUSTIN
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State | TX
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Zip | 78745-2843
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Country | US
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Telephone | 432-638-9059
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 58061
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1011818
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License Number State | TX
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