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General NPI Number Information
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NPI Number | 1619496833
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Entity Type | Organization
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Legal Business Name | ELISE P CUMMINGS RN PC
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Dates
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Enumeration Date | 09/19/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 70 MARCH CT
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City | SELDEN
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State | NY
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Zip | 11784-2033
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Country | US
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Telephone | 347-241-0323
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Fax |
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Provider Business Mailing Address
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Address Line | 70 MARCH CT
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City | SELDEN
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State | NY
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Zip | 11784-2033
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Country | US
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Telephone | 347-241-0323
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ELISE P CUMMINGS
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Credential | RN
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Telephone | 347-241-0323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 735829
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License Number State | NY
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