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General NPI Number Information
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NPI Number | 1518203314
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Entity Type | Individual
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Provider Name | AMY CABRAL NURSE PRACTIONER
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Gender | Female
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Dates
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Enumeration Date | 12/26/2012
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Last Update Date | 11/13/2017
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Provider Practice Location Address
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Address Line | 12006 ROARING RIVER AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93311-9308
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Country | US
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Telephone | 619-414-4094
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Fax |
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Provider Business Mailing Address
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Address Line | 12006 ROARING RIVER AVENUE
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City | BAKERSFIELD
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State | CA
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Zip | 93311
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Country | US
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Telephone | 619-414-4094
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 711523
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95000139
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 95000139
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License Number State | CA
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