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General NPI Number Information
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NPI Number | 1326796889
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Entity Type | Individual
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Provider Name | PAMELA INES JUMBO CUEVA MD
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Gender | Female
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 1100 WILFORD HALL LOOP BLDG 4554
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City | JBSA LACKLAND
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State | TX
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Zip | 78236-5638
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Country | US
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Telephone | 210-292-6255
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Fax | 210-292-7934
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Provider Business Mailing Address
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Address Line | 3551 ROGER BROOKE DR MCHE-ZDM-M, INTERNAL MEDICINE RESIDENCY
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City | JBSA-FORT SAM HOUSTON
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State | TX
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Zip | 78234-4504
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Country | US
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Telephone | 210-292-7805
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Fax | 210-292-7868
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101281437
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0101281437
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License Number State | VA
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