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General NPI Number Information
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NPI Number | 1518998525
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Entity Type | Individual
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Provider Name | NESTOR CRUZ JR. MD
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 401 MOCKSVILLE AVE FL 2
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City | SALISBURY
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State | NC
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Zip | 28144-2735
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Country | US
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Telephone | 704-633-9620
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Fax | 704-633-7504
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Provider Business Mailing Address
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Address Line | PO BOX 60447
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City | CHARLOTTE
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State | NC
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Zip | 28260-0447
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Country | US
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Telephone | 704-633-9620
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Fax | 704-633-7504
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 9800502
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 9800502
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License Number State | NC
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