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General NPI Number Information
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NPI Number | 1285300418
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Entity Type | Individual
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Provider Name | CAROL M. CABELLO DDS
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Gender | Female
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Dates
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Enumeration Date | 08/18/2021
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Last Update Date | 08/18/2021
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Provider Practice Location Address
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Address Line | 150 BENNETT AVE APT 2M
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City | NEW YORK
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State | NY
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Zip | 10040-3812
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Country | US
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Telephone | 347-462-6302
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Fax |
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Provider Business Mailing Address
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Address Line | 150 BENNETT AVE APT 2M
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City | NEW YORK
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State | NY
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Zip | 10040-3812
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Country | US
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Telephone | 347-462-6302
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 13222
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI02860600
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License Number State | NJ
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