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General NPI Number Information
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NPI Number | 1750068334
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Entity Type | Individual
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Provider Name | CRYSTAL CABALLERO MSN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 913 S AIRPORT DR STE A
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City | WESLACO
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State | TX
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Zip | 78596-6653
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Country | US
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Telephone | 956-647-5529
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Fax | 956-647-5617
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Provider Business Mailing Address
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Address Line | 2213 N KENNEDY DR
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City | WESLACO
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State | TX
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Zip | 78599-8806
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Country | US
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Telephone | 956-463-4437
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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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | N1383
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License Number State | TX
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