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General NPI Number Information
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NPI Number | 1437186053
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Entity Type | Individual
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Provider Name | JEANETTE CABRERA D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | AVE. FIDALGO DIAZ VILLA FONTANA AL-4
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City | CAROLINA
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State | PR
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Zip | 00983
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Country | US
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Telephone | 787-701-2613
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Fax | 787-701-2613
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Provider Business Mailing Address
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Address Line | AVENTURA ENCANTADA APT#6602
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976
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Country | US
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Telephone | 787-701-2613
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Fax | 787-701-2613
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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 | 2392
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License Number State | PR
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