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General NPI Number Information
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NPI Number | 1801052253
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Entity Type | Individual
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Provider Name | MARIA VICTORIA MORENO CUTTLE MD
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Gender | Female
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Dates
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Enumeration Date | 08/05/2008
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 8010 NORTHERN BLVD
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-1345
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Country | US
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Telephone | 718-429-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 372 DEKALB AVE APT 3E
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City | BROOKLYN
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State | NY
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Zip | 11205-3832
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Country | US
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Telephone | 917-757-7446
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Fax | 516-719-0708
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2011-01940
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 265367
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 265367
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License Number State | NY
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