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General NPI Number Information
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NPI Number | 1174774723
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Entity Type | Individual
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Provider Name | MICHELLE M CABRERA M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/01/2008
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 150 VALPREDA RD
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City | SAN MARCOS
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State | CA
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Zip | 92069-2973
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Country | US
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Telephone | 760-736-6767
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Fax |
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Provider Business Mailing Address
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Address Line | 150 VALPREDA RD
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City | SAN MARCOS
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State | CA
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Zip | 92069-2973
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Country | US
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Telephone | 760-736-6767
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME128729
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D0071197
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207VC0200X
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Taxonomy Name | Critical Care Medicine (Obstetrics & Gynecology) Physician
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License Number | D0071197
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | C156674
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License Number State | CA
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