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General NPI Number Information
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NPI Number | 1669657508
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Entity Type | Individual
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Provider Name | NIEVES CUERVO MD
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Gender | Female
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 03/19/2019
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Provider Practice Location Address
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Address Line | 56 HAMILTON ST.
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City | PATERSON
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State | NJ
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Zip | 07505-4509
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Country | US
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Telephone | 973-754-4776
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Fax |
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Provider Business Mailing Address
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Address Line | 87 ROUTE 17 NORTH SUITE 1-118
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City | MAYWOOD
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State | NJ
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Zip | 07607
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Country | US
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Telephone | 551-996-4450
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 247181-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA08361600
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License Number State | NJ
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