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General NPI Number Information
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NPI Number | 1962640854
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Entity Type | Organization
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Legal Business Name | MIRTHA E. CUEVAS, M.D. INC
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Dates
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Enumeration Date | 01/30/2009
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Last Update Date | 01/30/2009
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Provider Practice Location Address
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Address Line | 2106 E HILLCREST ST
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City | ORLANDO
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State | FL
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Zip | 32803-4829
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Country | US
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Telephone | 407-896-9250
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Fax | 407-897-7096
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Provider Business Mailing Address
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Address Line | 2106 E HILLCREST ST
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City | ORLANDO
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State | FL
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Zip | 32803-4829
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Country | US
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Telephone | 407-896-9250
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Fax | 407-897-7096
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MADHUHSHREE DESIRAJU
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Credential | M.D.
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Telephone | 407-896-9250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME78762
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License Number State | FL
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