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General NPI Number Information
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NPI Number | 1477760809
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Entity Type | Organization
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Legal Business Name | CLAUDETTE CUMMINGS PHD, PS
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2336 11TH AVE E
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City | SEATTLE
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State | WA
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Zip | 98102-4014
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Country | US
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Telephone | 206-328-2394
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Fax | 206-328-6051
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Provider Business Mailing Address
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Address Line | 2336 11TH AVE E
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City | SEATTLE
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State | WA
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Zip | 98102-4014
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Country | US
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Telephone | 206-328-2394
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Fax | 206-328-6051
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Authorized Official
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Title or Position | PRESIDENT
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Name | CLAUDETTE CUMMINGS
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Credential | PHD
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Telephone | 206-328-2394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State | WA
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