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General NPI Number Information
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NPI Number | 1922077148
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Entity Type | Organization
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Legal Business Name | CUMMINS WOMENS HEALTHCARE LLC
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 50 LAZELLE RD E
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City | COLUMBUS
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State | OH
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Zip | 43235-6423
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Country | US
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Telephone | 614-888-0800
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Fax | 614-888-0858
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Provider Business Mailing Address
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Address Line | 2020 ROUNDWYCK LN
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City | POWELL
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State | OH
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Zip | 43065-8562
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Country | US
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Telephone | 614-888-0800
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Fax | 614-846-3244
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ELIZABETH ANN CUMMINS
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Credential | MD
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Telephone | 614-888-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 35064648
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License Number State | OH
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