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General NPI Number Information
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NPI Number | 1801941489
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Entity Type | Individual
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Provider Name | EDWARD CABRERA M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 20 N ORANGE AVE # 101
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City | ORLANDO
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State | FL
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Zip | 32801-2414
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Country | US
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Telephone | 407-246-1848
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Fax | 407-246-5101
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Provider Business Mailing Address
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Address Line | 6365 COLLINS AVE # 2503
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City | MIAMI BEACH
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State | FL
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Zip | 33141-9620
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Country | US
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Telephone | 305-775-2002
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME049401
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License Number State | FL
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