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General NPI Number Information
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NPI Number | 1114226941
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Entity Type | Organization
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Legal Business Name | MARIA LUISA S CUEVAS
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Dates
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Enumeration Date | 03/18/2011
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Last Update Date | 03/18/2011
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Provider Practice Location Address
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Address Line | 7550 LUCERNE DR SUITE 405
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City | CLEVELAND
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State | OH
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Zip | 44130-6588
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Country | US
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Telephone | 800-556-6236
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Fax | 440-234-3313
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Provider Business Mailing Address
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Address Line | 1050 ISSAC STS SUITE 104
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City | OREGON
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State | OH
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Zip | 43616-3291
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Country | US
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Telephone | 419-698-4642
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Fax |
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Authorized Official
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Title or Position | MD
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Name | MARIA LUISA S CUEVAS
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Credential | MD
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Telephone | 419-698-4642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4029101
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License Number State | OH
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