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General NPI Number Information
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NPI Number | 1861646994
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Entity Type | Organization
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Legal Business Name | CUMMINGS TREASURED TIME ADULT DAY CENTER LLC
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Dates
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Enumeration Date | 11/17/2008
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Last Update Date | 11/17/2008
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Provider Practice Location Address
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Address Line | 22401 STATE HIGHWAY 6
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City | DEERWOOD
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State | MN
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Zip | 56444-6245
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Country | US
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Telephone | 218-546-5071
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Fax |
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Provider Business Mailing Address
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Address Line | 22401 STATE HIGHWAY 6
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City | DEERWOOD
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State | MN
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Zip | 56444-6245
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Country | US
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Telephone | 218-546-5071
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | RACHEL J CUMMINGS
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Credential | RN
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Telephone | 218-546-5071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 1051893-1-ADC
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License Number State | MN
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