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General NPI Number Information
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NPI Number | 1225082068
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Entity Type | Individual
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Provider Name | CARLOS M BAEZ CUBILLE MD
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Gender | Male
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 4597 CASABLANCA CIR
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City | SEBRING
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State | FL
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Zip | 33870-1206
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Country | US
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Telephone | 863-236-9550
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Fax | 877-832-3363
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Provider Business Mailing Address
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Address Line | 4597 CASABLANCA CIR
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City | SEBRING
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State | FL
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Zip | 33870-1206
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Country | US
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Telephone | 863-236-9550
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Fax | 877-832-3363
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN1525
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License Number State | FL
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