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General NPI Number Information
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NPI Number | 1093474876
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Entity Type | Individual
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Provider Name | DEREK CABRAL DPT
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Gender | Male
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Dates
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Enumeration Date | 12/09/2021
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 166 HAMILTON ST
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City | LEOMINSTER
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State | MA
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Zip | 01453-2310
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Country | US
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Telephone | 978-558-4915
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Fax |
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Provider Business Mailing Address
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Address Line | 166 HAMILTON ST
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City | LEOMINSTER
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State | MA
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Zip | 01453-2310
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Country | US
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Telephone | 978-558-4915
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL25869
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License Number State | MA
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