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General NPI Number Information
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NPI Number | 1518472067
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Entity Type | Organization
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Legal Business Name | MORGAN JAY CUMMINGS, LLC
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Dates
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Enumeration Date | 12/06/2017
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Last Update Date | 12/06/2017
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Provider Practice Location Address
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Address Line | 26 PROSPECT ST
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City | MANCHESTER
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State | CT
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Zip | 06040-5861
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Country | US
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Telephone | 860-270-9137
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Fax | 860-270-9137
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Provider Business Mailing Address
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Address Line | 26 PROSPECT ST
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City | MANCHESTER
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State | CT
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Zip | 06040-5861
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Country | US
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Telephone | 860-270-9137
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Fax | 860-270-9137
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Authorized Official
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Title or Position | OWNER
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Name | MORGAN JAY CUMMINGS
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Credential | LCSW, LADC, CCS
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Telephone | 860-270-9137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 58.008774
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License Number State | CT
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