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General NPI Number Information
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NPI Number | 1578422754
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Entity Type | Individual
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Provider Name | MARTY CABALLERO LMSW
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Gender | Male
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 19627 INTERSTATE 45 N STE 210
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City | SPRING
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State | TX
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Zip | 77388-6028
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Country | US
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Telephone | 281-901-0050
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Fax |
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Provider Business Mailing Address
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Address Line | 25114 BARMBY DR
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City | SPRING
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State | TX
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Zip | 77389-3248
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Country | US
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Telephone | 832-534-2694
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 116625
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License Number State | TX
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