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General NPI Number Information
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NPI Number | 1700368206
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Entity Type | Individual
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Provider Name | JENNIFER LEE CUMMINGS NP
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Gender | Female
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Dates
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Enumeration Date | 08/30/2018
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 2601 HOLME AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19152-2096
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Country | US
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Telephone | 215-335-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 1246 S CARLISLE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19146-3121
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Country | US
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Telephone | 267-456-0916
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | VP005734C
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | VP005734C
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License Number State | PA
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