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General NPI Number Information
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NPI Number | 1669695441
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Entity Type | Organization
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Legal Business Name | SONIA GABRIELA CABALLERO
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 11/09/2008
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Provider Practice Location Address
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Address Line | 6400 AIRPORT RD STE H
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City | EL PASO
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State | TX
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Zip | 79925-1049
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Country | US
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Telephone | 915-532-4555
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Fax | 915-562-7609
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Provider Business Mailing Address
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Address Line | 6400 AIRPORT RD STE H
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City | EL PASO
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State | TX
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Zip | 79925-1049
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Country | US
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Telephone | 915-532-4555
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Fax | 915-562-7609
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SONIA GABRIELA CABALLERO
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Credential |
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Telephone | 915-532-4555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 0068704
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License Number State | TX
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