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General NPI Number Information
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NPI Number | 1326778564
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Entity Type | Individual
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Provider Name | JOSE JOEL CUEVAS MHC
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Gender | Male
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Dates
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Enumeration Date | 06/11/2022
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 145 E 13TH ST
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City | SAINT CLOUD
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State | FL
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Zip | 34769-4749
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Country | US
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Telephone | 407-749-3580
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Fax |
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Provider Business Mailing Address
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Address Line | 1530 ELMWOOD AVE
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City | KISSIMMEE
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State | FL
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Zip | 34744-4009
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Country | US
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Telephone | 689-241-0833
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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