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General NPI Number Information
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NPI Number | 1265996078
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Entity Type | Individual
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Provider Name | ANDREW THOMAS CUMMINGS MS, ATC
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Gender | Male
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Dates
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Enumeration Date | 01/25/2019
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Last Update Date | 08/26/2020
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Provider Practice Location Address
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Address Line | 3 KEANEY ROAD SUITE ONE
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City | KINGSTON
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State | RI
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Zip | 02881
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Country | US
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Telephone | 401-874-4804
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Fax |
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Provider Business Mailing Address
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Address Line | 41 LATHAM FARM RD
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City | SMITHFIELD
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State | RI
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Zip | 02917-1026
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Country | US
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Telephone | 401-743-2375
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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