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General NPI Number Information
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NPI Number | 1043750169
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Entity Type | Individual
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Provider Name | GABRIELA M CUEBAS DMD
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Gender | Female
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Dates
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Enumeration Date | 03/08/2017
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Last Update Date | 01/22/2020
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Provider Practice Location Address
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Address Line | 510 E 23RD ST # SLT
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City | PANAMA CITY
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State | FL
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Zip | 32405-5308
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Country | US
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Telephone | 850-792-1023
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 SW 8TH ST APT W701
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City | MIAMI
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State | FL
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Zip | 33135-3399
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Country | US
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Telephone | 787-299-1761
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN23864
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License Number State | FL
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