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General NPI Number Information
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NPI Number | 1316458763
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Entity Type | Individual
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Provider Name | MEGAN ELIZABETH CUMMINGS PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/12/2017
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Last Update Date | 10/12/2017
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Provider Practice Location Address
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Address Line | 516 DENVER ST
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City | WICHITA FALLS
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State | TX
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Zip | 76301-2110
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Country | US
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Telephone | 940-720-3575
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Fax | 940-696-6248
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Provider Business Mailing Address
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Address Line | 516 DENVER ST
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City | WICHITA FALLS
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State | TX
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Zip | 76301-2110
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Country | US
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Telephone | 940-720-3575
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Fax | 940-696-6248
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP135415
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License Number State | TX
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