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General NPI Number Information
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NPI Number | 1801351804
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Entity Type | Organization
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Legal Business Name | CHERI MCCUE MD PA
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Dates
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Enumeration Date | 02/04/2019
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 5 RYANT BLVD
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City | SEBRING
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State | FL
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Zip | 33870-8075
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Country | US
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Telephone | 863-991-2819
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Fax | 863-446-0639
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Provider Business Mailing Address
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Address Line | 300 CIRCLE PARK DR
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City | SEBRING
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State | FL
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Zip | 33870-3305
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHERI MCCUE
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Credential | MD
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Telephone | 863-446-1803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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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 |
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License Number State |
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