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General NPI Number Information
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NPI Number | 1568529675
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Entity Type | Individual
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Provider Name | ROBERT LOUIS CUCIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 11/24/2010
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Provider Practice Location Address
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Address Line | 1701 S FLAGLER DR SUITE 607
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-7341
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Country | US
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Telephone | 561-651-7816
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Fax | 561-651-7808
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Provider Business Mailing Address
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Address Line | 1701 S FLAGLER DR SUITE 607
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-7341
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Country | US
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Telephone | 212-586-9500
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Fax | 561-651-7808
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 114103
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License Number State | NY
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