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General NPI Number Information
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NPI Number | 1437390218
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Entity Type | Organization
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Legal Business Name | MARIA CUDA, DO, PC
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Dates
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Enumeration Date | 03/09/2009
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Last Update Date | 12/21/2010
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Provider Practice Location Address
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Address Line | 15 HOSPITAL DR STE B
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City | MASSENA
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State | NY
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Zip | 13662-1037
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Country | US
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Telephone | 315-764-1444
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Fax | 315-764-1440
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Provider Business Mailing Address
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Address Line | PO BOX 610
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City | MASSENA
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State | NY
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Zip | 13662-0610
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Country | US
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Telephone | 315-764-1444
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Fax | 315-764-1440
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Authorized Official
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Title or Position | OWNER
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Name | MARIA A. CUDA
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Credential | DO
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Telephone | 315-764-1444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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