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General NPI Number Information
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NPI Number | 1114125630
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Entity Type | Individual
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Provider Name | ANTONIO PICACHE CABREIRA M.D
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Gender | Male
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2740 LAKE HOWELL LN 483 N. SEMORAN BLVD SUITE 103
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City | WINTER PARK
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State | FL
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Zip | 32792-5716
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Country | US
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Telephone | 407-215-6371
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Fax | 132-127-4032
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Provider Business Mailing Address
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Address Line | 2740 LAKE HOWELL LN
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City | WINTER PARK
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State | FL
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Zip | 32792-5716
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Country | US
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Telephone | 407-657-8104
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Fax | 407-657-8104
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME 27631
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License Number State | FL
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