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General NPI Number Information
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NPI Number | 1407597032
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Entity Type | Individual
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Provider Name | MATTHEW EDISON CUMBER
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Gender | Male
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Dates
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Enumeration Date | 04/06/2022
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 18 W MAIN ST APT 219
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City | BOUND BROOK
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State | NJ
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Zip | 08805-2311
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Country | US
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Telephone | 732-277-5289
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Fax |
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Provider Business Mailing Address
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Address Line | 1 TINGLEY LN
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City | EDISON
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State | NJ
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Zip | 08820-1490
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Country | US
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Telephone | 732-549-1108
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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 | 25MT00206500
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License Number State | NJ
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