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General NPI Number Information
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NPI Number | 1467150995
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Entity Type | Individual
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Provider Name | YUSDEL CABRERA VILLALOBOS APRN, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 02/23/2023
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 2724 SW 22ND AVE
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City | CAPE CORAL
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State | FL
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Zip | 33914-3912
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Country | US
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Telephone | 786-238-1289
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Fax |
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Provider Business Mailing Address
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Address Line | 2724 SW 22ND AVE
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City | CAPE CORAL
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State | FL
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Zip | 33914-3912
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Country | US
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Telephone | 786-238-1289
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Fax | 239-237-5659
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11024615
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License Number State | FL
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