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General NPI Number Information
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NPI Number | 1407748296
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Entity Type | Individual
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Provider Name | YENISMAR CABRERA OD
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Gender | Female
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 10674 NW 19TH ST
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City | DORAL
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State | FL
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Zip | 33172-2542
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Country | US
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Telephone | 305-649-4011
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Fax |
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Provider Business Mailing Address
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Address Line | 1051 SE SPINNAKER AVE
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34983-4035
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Country | US
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Telephone | 786-253-2607
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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 | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | OPC6795
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC6795
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License Number State | FL
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