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General NPI Number Information
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NPI Number | 1649293705
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Entity Type | Individual
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Provider Name | VICTOR G. CARABELLO M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 09/15/2014
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Provider Practice Location Address
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Address Line | 1701 E CESAR E CHAVEZ AVE SUITE #100
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City | LOS ANGELES
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State | CA
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Zip | 90033-2464
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Country | US
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Telephone | 323-987-1362
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Fax | 323-987-1365
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Provider Business Mailing Address
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Address Line | 1700 E CESAR E CHAVEZ AVE STE L-200
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City | LOS ANGELES
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State | CA
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Zip | 90033-2424
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Country | US
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Telephone | 323-526-2880
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Fax | 323-526-2885
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | G74827
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License Number State | CA
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