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General NPI Number Information
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NPI Number | 1326196163
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Entity Type | Individual
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Provider Name | MOISES CABRERA D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 14609 SW 104TH ST
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City | MIAMI
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State | FL
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Zip | 33186-2905
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Country | US
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Telephone | 305-388-3725
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Fax | 305-388-1748
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Provider Business Mailing Address
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Address Line | 101 E 50TH PL
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City | HIALEAH
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State | FL
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Zip | 33013-1446
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Country | US
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Telephone |
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Fax | 305-557-1745
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN 15114
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License Number State | FL
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