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General NPI Number Information
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NPI Number | 1699120709
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Entity Type | Individual
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Provider Name | RACHEL MARIE CUMMINGS DDS
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Gender | Female
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Dates
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Enumeration Date | 04/26/2016
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Last Update Date | 05/22/2018
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Provider Practice Location Address
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Address Line | 4000 17TH AVE S
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City | GRAND FORKS
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State | ND
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Zip | 58201
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Country | US
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Telephone | 701-775-0641
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Fax | 701-746-9328
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Provider Business Mailing Address
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Address Line | 4000 17TH AVE S
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City | GRAND FORKS
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State | ND
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Zip | 58201-3905
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Country | US
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Telephone | 701-775-0641
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Fax | 701-746-9328
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2284
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License Number State | ND
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