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General NPI Number Information
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NPI Number | 1407629975
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Entity Type | Individual
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Provider Name | PAUL CUMMINGS RN
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Gender | Male
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Dates
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Enumeration Date | 11/06/2023
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1905 E ST SE
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City | WASHINGTON
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State | DC
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Zip | 20003-2593
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Country | US
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Telephone | 202-673-9319
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Fax |
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Provider Business Mailing Address
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Address Line | 11275 BURBERRY ST
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City | WHITE PLAINS
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State | MD
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Zip | 20695-3188
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Country | US
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Telephone | 347-773-9615
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R236391
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN1055358
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License Number State | DC
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