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General NPI Number Information
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NPI Number | 1013909886
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Entity Type | Individual
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Provider Name | JAMES J DE CUBAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 10/16/2015
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Provider Practice Location Address
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Address Line | 5142 CURRY FORD RD
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City | ORLANDO
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State | FL
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Zip | 32812-8744
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Country | US
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Telephone | 407-381-5533
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Fax | 407-381-1142
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Provider Business Mailing Address
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Address Line | 1851 OAK LN
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City | ORLANDO
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State | FL
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Zip | 32803-1533
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Country | US
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Telephone | 407-897-2138
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME39444
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License Number State | FL
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