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General NPI Number Information
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NPI Number | 1740092063
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Entity Type | Individual
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Provider Name | GWENDOLYN CUMMINGS LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 300 SOUTH TWINING ST
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City | MAXWELL
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State | AL
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Zip | 36112-6027
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Country | US
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Telephone | 334-953-4065
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Fax |
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Provider Business Mailing Address
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Address Line | 1938 REGENT RD
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City | PRATTVILLE
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State | AL
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Zip | 36066-7265
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Country | US
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Telephone | 229-444-0065
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | MSW009899
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License Number State | GA
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