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General NPI Number Information
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NPI Number | 1154963452
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Entity Type | Individual
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Provider Name | JENNIFER PEREZ-CUEVA
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Gender | Female
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Dates
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Enumeration Date | 10/08/2019
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 7350 SILVER LAKE RD # APPT25G
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City | RENO
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State | NV
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Zip | 89506-3137
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Country | US
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Telephone | 530-409-9637
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Fax |
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Provider Business Mailing Address
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Address Line | 200 AUBURN FOLSOM RD STE 101
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City | AUBURN
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State | CA
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Zip | 95603-5030
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Country | US
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Telephone | 916-305-8931
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State | CA
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