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General NPI Number Information
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NPI Number | 1396933057
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Entity Type | Individual
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Provider Name | LILIBETH TULANG CUEVAS ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 03/21/2008
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Provider Practice Location Address
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Address Line | 2140 KINGSLEY AVE
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City | ORANGE PARK
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State | FL
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Zip | 32073-5180
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Country | US
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Telephone | 904-213-0600
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Fax | 904-213-0652
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Provider Business Mailing Address
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Address Line | 8711 PERIMETER PARK BLVD SUITE 6
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6388
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Country | US
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Telephone | 904-223-2330
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Fax | 904-223-3149
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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 | ARNP9169076
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License Number State | FL
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