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General NPI Number Information
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NPI Number | 1659013605
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Entity Type | Individual
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Provider Name | RONALD SPENCER CUA TE DO
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Gender | Male
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 4201 SAINT ANTOINE ST
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City | DETROIT
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State | MI
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Zip | 48201-2153
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Country | US
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Telephone | 313-745-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 500 RIVER PLACE DR APT 5152
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City | DETROIT
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State | MI
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Zip | 48207-5047
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Country | US
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Telephone | 847-890-1619
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 5101028632
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License Number State | MI
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