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General NPI Number Information
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NPI Number | 1902441553
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Entity Type | Individual
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Provider Name | JENNIFER CUMMINGS OT
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Gender | Female
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Dates
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Enumeration Date | 11/07/2019
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Last Update Date | 11/07/2019
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Provider Practice Location Address
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Address Line | 1610 ARDEN WAY STE 195
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City | SACRAMENTO
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State | CA
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Zip | 95815-4035
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Country | US
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Telephone | 408-559-9020
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Fax | 408-599-9020
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Provider Business Mailing Address
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Address Line | 5388 BUCKWOOD WAY
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City | SACRAMENTO
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State | CA
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Zip | 95835-1723
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Country | US
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Telephone | 916-276-1277
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 14397
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License Number State | CA
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