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General NPI Number Information
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NPI Number | 1639866031
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Entity Type | Individual
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Provider Name | JODY CUMMINS LMSW
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Gender | Female
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Dates
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Enumeration Date | 04/18/2023
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Last Update Date | 04/18/2023
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Provider Practice Location Address
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Address Line | 1661 N SWAN RD STE 312
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City | TUCSON
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State | AZ
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Zip | 85712-4075
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Country | US
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Telephone | 520-327-5522
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Fax |
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Provider Business Mailing Address
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Address Line | 3993 W BAGLEY FLAT PL
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City | TUCSON
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State | AZ
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Zip | 85745-4158
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Country | US
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Telephone | 520-390-1484
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LMSW-19849
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License Number State | AZ
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