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General NPI Number Information
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NPI Number | 1639139181
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Entity Type | Individual
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Provider Name | JOHN V CUA MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 11/16/2009
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Provider Practice Location Address
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Address Line | 9937 SHADY LN
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City | BROOKLYN
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State | OH
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Zip | 44144-3010
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Country | US
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Telephone | 216-741-3627
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Fax |
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Provider Business Mailing Address
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Address Line | 26908 DETROIT RD SUITE 301
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City | WESTLAKE
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State | OH
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Zip | 44145-2398
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Country | US
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Telephone | 440-892-6406
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Fax | 440-617-0884
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35.034096
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License Number State | OH
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