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General NPI Number Information
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NPI Number | 1730953811
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Entity Type | Individual
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Provider Name | SVEN JOEL CABASSA CABAN
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Gender | Male
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Dates
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Enumeration Date | 11/09/2023
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | CALLE 20 PARCELA ELIZABETH III #646
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City | CABO ROJO
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State | PR
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Zip | 00623
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Country | US
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Telephone | 787-373-3249
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1395
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City | HORMIGUEROS
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State | PR
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Zip | 00660
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Country | US
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Telephone | 787-373-3249
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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 | 163WG0600X
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Taxonomy Name | Gerontology Registered Nurse
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License Number | 97796
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 97796
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License Number State | PR
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