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General NPI Number Information
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NPI Number | 1205910056
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Entity Type | Individual
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Provider Name | DR. ANDRES CUEVAS LARA
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9326 LANHAM-SEVERN RD
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City | LANHAM
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State | MD
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Zip | 20706
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Country | US
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Telephone | 301-459-7220
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Fax | 301-459-8229
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Provider Business Mailing Address
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Address Line | 9326 LANHAM-SEVERN RD
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City | LANHAM
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State | MD
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Zip | 20706
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Country | US
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Telephone | 301-459-7220
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Fax | 301-459-8229
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | D0016197
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License Number State | MD
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