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General NPI Number Information
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NPI Number | 1003966953
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Entity Type | Individual
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Provider Name | PEDRO GILBERTO CABRERA DMD
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 CALLE JOSE D CANDELAS MANATI MEDICAL PLAZA SUITE # 103
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City | MANATI
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State | PR
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Zip | 00674-5507
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Country | US
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Telephone | 787-884-2924
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CALLE JOSE D CANDELAS MANATI MEDICAL PLAZA SUITE # 103
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City | MANATI
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State | PR
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Zip | 00674-5507
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Country | US
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Telephone | 787-884-2924
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 02309
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License Number State | PR
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