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General NPI Number Information
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NPI Number | 1578832895
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Entity Type | Organization
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Legal Business Name | SCOTT T. CUMMINS, P.C.
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Dates
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Enumeration Date | 12/14/2011
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Last Update Date | 12/14/2011
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Provider Practice Location Address
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Address Line | 550 HELEN HWY
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City | CLEVELAND
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State | GA
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Zip | 30528-1049
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Country | US
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Telephone | 706-865-2166
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Fax | 706-865-2154
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Provider Business Mailing Address
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Address Line | PO BOX 687
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City | CLEVELAND
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State | GA
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Zip | 30528-0012
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Country | US
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Telephone | 706-865-2166
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Fax | 706-865-2154
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Authorized Official
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Title or Position | CEO
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Name | DR. SCOTT THOMAS CUMMINS
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Credential | D.C.
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Telephone | 706-865-2166
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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 | CHIRO002882
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License Number State | GA
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