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General NPI Number Information
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NPI Number | 1578431672
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Entity Type | Organization
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Legal Business Name | JCM2 INC
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 8280 NW 166TH TER
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City | MIAMI LAKES
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State | FL
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Zip | 33016-3442
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Country | US
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Telephone | 512-947-7631
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Fax | 786-786-1023
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Provider Business Mailing Address
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Address Line | 8280 NW 166TH TER
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City | MIAMI LAKES
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State | FL
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Zip | 33016-3442
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Country | US
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Telephone | 512-947-7631
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Fax | 786-786-1022
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JOSE CABRERA
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Credential | MD
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Telephone | 512-947-7631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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