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General NPI Number Information
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NPI Number | 1265046833
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Entity Type | Individual
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Provider Name | YURLENKA CABALLERO
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Gender | Female
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Dates
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Enumeration Date | 09/01/2020
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Last Update Date | 09/04/2020
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Provider Practice Location Address
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Address Line | 2100 W 76TH ST STE 202
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City | HIALEAH
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State | FL
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Zip | 33016-5503
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Country | US
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Telephone | 305-606-4836
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Fax | 786-558-5005
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Provider Business Mailing Address
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Address Line | 70 E 36TH ST
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City | HIALEAH
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State | FL
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Zip | 33013-2634
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Country | US
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Telephone | 786-597-3291
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 26344
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License Number State | FL
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