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General NPI Number Information
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NPI Number | 1295418887
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Entity Type | Individual
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Provider Name | LUIS DAVID CABANILLA
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Gender | Male
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Dates
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Enumeration Date | 08/09/2023
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 45111 FERN AVE
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City | LANCASTER
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State | CA
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Zip | 93534-2301
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Country | US
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Telephone | 661-949-1206
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Fax |
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Provider Business Mailing Address
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Address Line | 2845 W NEWGROVE ST
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City | LANCASTER
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State | CA
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Zip | 93536-1423
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Country | US
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Telephone | 661-429-5025
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 18690
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 153116
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License Number State | CA
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