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General NPI Number Information
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NPI Number | 1437831344
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Entity Type | Individual
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Provider Name | DAISY CUEVAS
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Gender | Female
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 275 YOUNG CIR
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City | MARINA
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State | CA
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Zip | 93933-2718
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Country | US
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Telephone | 831-915-9437
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 S MAIN ST
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City | SALINAS
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State | CA
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Zip | 93901-2352
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Country | US
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Telephone | 831-755-4475
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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