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General NPI Number Information
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NPI Number | 1275978629
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Entity Type | Individual
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Provider Name | GISELLE CABRERA D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 04/29/2013
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Last Update Date | 10/07/2019
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Provider Practice Location Address
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Address Line | 9485 SW 72ND ST STE A100
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City | MIAMI
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State | FL
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Zip | 33173-3214
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Country | US
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Telephone | 305-598-3384
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Fax |
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Provider Business Mailing Address
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Address Line | 9485 SW 72ND ST STE A100
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City | MIAMI
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State | FL
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Zip | 33173-3214
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Country | US
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Telephone | 786-301-1230
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 057820
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN21263
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License Number State | FL
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