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General NPI Number Information
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NPI Number | 1285011387
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Entity Type | Individual
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Provider Name | RICHARD FABIAN CABRERA MD
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Gender | Male
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Dates
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Enumeration Date | 04/28/2015
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Last Update Date | 10/30/2020
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Provider Practice Location Address
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Address Line | 9939 MAGNOLIA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92503-3528
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Country | US
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Telephone | 951-687-8802
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Fax | 951-687-2250
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Provider Business Mailing Address
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Address Line | 101 E BEVERLY BLVD STE 301
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City | MONTEBELLO
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State | CA
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Zip | 90640-4316
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Country | US
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Telephone | 951-354-3216
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Fax | 951-848-9968
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 150290
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License Number State | CA
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