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General NPI Number Information
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NPI Number | 1013543156
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Entity Type | Individual
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Provider Name | CARLOS CABRERA ROSALES
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Gender | Male
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Dates
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Enumeration Date | 03/20/2020
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Last Update Date | 03/20/2020
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Provider Practice Location Address
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Address Line | 654 NE 9TH PL
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City | HOMESTEAD
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State | FL
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Zip | 33030-4934
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Country | US
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Telephone | 305-248-3488
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Fax |
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Provider Business Mailing Address
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Address Line | 210 FONTAINEBLEAU BLVD APT 302
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City | MIAMI
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State | FL
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Zip | 33172-4570
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Country | US
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Telephone | 786-857-1466
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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