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General NPI Number Information
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NPI Number | 1295242972
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Entity Type | Individual
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Provider Name | NESTOR LUIS CUEVAS-RAMOS
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Gender | Male
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Dates
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Enumeration Date | 01/04/2018
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 8875 HIDDEN RIVER PKWY
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City | TAMPA
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State | FL
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Zip | 33637-1035
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Country | US
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Telephone | 717-968-4394
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Fax |
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Provider Business Mailing Address
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Address Line | 7740 LOWER GATEWAY LOOP UNIT 1526
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City | ORLANDO
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State | FL
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Zip | 32827-7210
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Country | US
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Telephone | 717-968-4394
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 5785
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License Number State | PR
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