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General NPI Number Information
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NPI Number | 1841237211
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Entity Type | Individual
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Provider Name | NAPOLEON CUENCO M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 12/13/2013
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Provider Practice Location Address
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Address Line | 500 GLENDALE RD
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City | GALAX
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State | VA
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Zip | 24333-2208
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Country | US
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Telephone | 276-236-1699
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Fax |
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Provider Business Mailing Address
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Address Line | 200 HOSPITAL DR
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City | GALAX
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State | VA
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Zip | 24333-2227
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Country | US
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Telephone | 276-236-1699
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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 | 0101050132
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License Number State | VA
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