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General NPI Number Information
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NPI Number | 1356583835
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Entity Type | Individual
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Provider Name | CATHERINE MARIE CUMMINGS DC, LAC, FNP
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Gender | Female
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Dates
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Enumeration Date | 03/31/2009
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Last Update Date | 12/12/2016
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Provider Practice Location Address
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Address Line | 6552 CR 403
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City | VALLEY SPRING
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State | TX
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Zip | 76885
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Country | US
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Telephone | 325-423-1621
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Fax | 325-328-0720
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Provider Business Mailing Address
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Address Line | PO BOX 5724
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City | VALLEY SPRING
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State | TX
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Zip | 76885-5724
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Country | US
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Telephone | 325-423-1621
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Fax | 325-248-0720
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 10379
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 132713
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License Number State | TX
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