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NPI Code Detail

MEDICARE: DAKOTA CUMMINGS

MEDICARE: DAKOTA CUMMINGS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse12074540-3101UT

General Provider Information

NPI Number : 1326714486
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAKOTA CUMMINGS
Provider Business Mailing Address
First Line : 523 HERITAGE PARK BLVD
Second Line :
City : LAYTON
State : UT
Zip : 84041-5711
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 523 HERITAGE PARK BLVD
Second Line :
City : LAYTON
State : UT
Zip : 84041-5711
Country : US
Telephone Number : 801-525-9998
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2021
Last Update Date : 08/19/2021

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Directions to “ DAKOTA CUMMINGS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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