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General NPI Number Information
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NPI Number | 1700091279
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Entity Type | Organization
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Legal Business Name | ELISEO CUMMINGS, D.C.
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 08/31/2007
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Provider Practice Location Address
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Address Line | 204 N 1ST ST
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City | CONROE
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State | TX
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Zip | 77301-2920
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Country | US
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Telephone | 936-756-2415
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Fax |
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Provider Business Mailing Address
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Address Line | 204 N 1ST ST
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City | CONROE
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State | TX
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Zip | 77301-2920
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Country | US
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Telephone | 936-756-2415
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. ELISEO CUMMINGS
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Credential | D.C.
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Telephone | 936-756-2415
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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 | 10277
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License Number State | TX
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