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General NPI Number Information
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NPI Number | 1639524879
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Entity Type | Individual
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Provider Name | JEAN LUIS CABRERA M.D
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Gender | Male
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Dates
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Enumeration Date | 04/25/2016
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Last Update Date | 07/16/2021
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Provider Practice Location Address
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Address Line | 1710 E 8TH ST
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City | WESLACO
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State | TX
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Zip | 78596-6646
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Country | US
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Telephone | 956-969-2536
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Fax | 956-968-5542
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Provider Business Mailing Address
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Address Line | 2102 TREASURE HILLS BLVD #3.144.05
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City | HARLINGEN
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State | TX
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Zip | 78550-8736
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Country | US
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Telephone | 956-296-1437
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Fax | 956-296-1326
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP10055732
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License Number State | TX
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