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General NPI Number Information
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NPI Number | 1598721664
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Entity Type | Individual
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Provider Name | NANCY H CUMMINGS EDD, ATC/L, CSCS
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Gender | Female
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 111 LAKE HOLLINGSWORTH DR FLORIDA SOUTHERN COLLEGE
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City | LAKELAND
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State | FL
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Zip | 33801-5607
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Country | US
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Telephone | 863-680-4262
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Fax |
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Provider Business Mailing Address
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Address Line | 1936 BLUFF OAK ST
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City | APOPKA
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State | FL
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Zip | 32712-3907
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Country | US
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Telephone | 321-439-2255
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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 | AL175
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License Number State | FL
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