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General NPI Number Information
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NPI Number | 1528492238
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Entity Type | Individual
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Provider Name | MISS ANNA C CUEVAS
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Gender | Female
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Dates
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Enumeration Date | 08/29/2013
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Last Update Date | 08/29/2013
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Provider Practice Location Address
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Address Line | 271 LAKE POINTE CIR
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City | MIDDLE ISLAND
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State | NY
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Zip | 11953-2062
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Country | US
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Telephone | 631-816-9089
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 918
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City | UPTON
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State | NY
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Zip | 11973-0918
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Country | US
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Telephone | 631-816-9089
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 692028121
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 692027121
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 692219121
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 692026121
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License Number State | NY
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