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General NPI Number Information
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NPI Number | 1033970769
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Entity Type | Individual
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Provider Name | JACOB MARTIN CABRERA APRN, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 01/19/2024
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 2026 S JACKSON ST
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City | JACKSONVILLE
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State | TX
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Zip | 75766-5822
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Country | US
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Telephone | 903-541-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 802 JACK BROWN
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City | WHITEHOUSE
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State | TX
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Zip | 75791-3818
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Country | US
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Telephone | 903-279-1137
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1149482
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 1149482
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1149482
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License Number State | TX
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