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NPI 1962614727

NPI 1962614727 : MAUREEN JANE CUMMINGS M.A., MFT : PLEASANT HILL, CA

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General NPI Number Information
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    NPI Number           |    1962614727
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    Entity Type          |    Individual 
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    Provider Name        |    MAUREEN JANE CUMMINGS M.A., MFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/04/2007
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    Last Update Date     |    01/19/2010
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Provider Practice Location Address
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    Address Line         |    1519 CONTRA COSTA BLVD 
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    City                 |    PLEASANT HILL
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    State                |    CA
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    Zip                  |    94523-3054
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    Country              |    US
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    Telephone            |    925-639-8166
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    Fax                  |    925-274-9471
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Provider Business Mailing Address
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    Address Line         |    1519 CONTRA COSTA BLVD 
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    City                 |    PLEASANT HILL
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    State                |    CA
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    Zip                  |    94523-3054
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    Country              |    US
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    Telephone            |    925-639-8166
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    Fax                  |    925-274-9471
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    MFC 44691
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    License Number State |    CA
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