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General NPI Number Information
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NPI Number | 1043459050
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Entity Type | Organization
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Legal Business Name | JOSE R. CABALLERO, M.D. P.C.
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Dates
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Enumeration Date | 02/13/2009
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Last Update Date | 02/13/2009
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Provider Practice Location Address
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Address Line | 901 LEIGHTON AVE
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City | ANNISTON
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State | AL
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Zip | 36207-5700
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Country | US
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Telephone | 256-236-4845
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Fax | 256-236-5274
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Provider Business Mailing Address
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Address Line | 901 LEIGHTON AVE
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City | ANNISTON
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State | AL
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Zip | 36207-5700
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Country | US
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Telephone | 256-236-4845
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Fax | 256-236-5274
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Authorized Official
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Title or Position | OWNER
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Name | JOSE CABALLERO
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Credential | M.D.
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Telephone | 256-236-4845
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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 | 10533
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License Number State | AL
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