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General NPI Number Information
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NPI Number | 1689578866
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Entity Type | Organization
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Legal Business Name | CURE VAVEZ LLC
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 9478 BLACK HAWK CT
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City | MANASSAS PARK
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State | VA
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Zip | 20111-3011
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Country | US
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Telephone | 201-479-1498
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Fax | 201-479-1498
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Provider Business Mailing Address
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Address Line | 9478 BLACK HAWK CT
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City | MANASSAS PARK
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State | VA
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Zip | 20111-3011
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Country | US
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Telephone | 201-479-1498
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Fax | 201-479-1498
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Authorized Official
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Title or Position | OWNER
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Name | DARICK SHOUKAT
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Credential |
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Telephone | 201-479-1498
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State | NULL
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