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General NPI Number Information
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NPI Number | 1194185157
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Entity Type | Individual
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Provider Name | GIOVANNI CUARESMA SR. NP-C
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Gender | Male
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Dates
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Enumeration Date | 03/02/2016
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Last Update Date | 03/02/2016
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Provider Practice Location Address
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Address Line | 2104 FM 2920 RD
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City | SPRING
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State | TX
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Zip | 77388-3676
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Country | US
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Telephone | 281-882-8844
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Fax |
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Provider Business Mailing Address
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Address Line | 9003 CORBRIDGE DR
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City | RICHMOND
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State | TX
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Zip | 77469-5517
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Country | US
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Telephone | 832-757-9918
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP130423
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License Number State | TX
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