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General NPI Number Information
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NPI Number | 1821979832
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Entity Type | Individual
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Provider Name | RICARDO CABRERA
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Gender | Male
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 6280 JACKSON DR STE 8
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City | SAN DIEGO
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State | CA
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Zip | 92119-3436
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Country | US
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Telephone | 619-324-4893
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Fax | 888-744-5486
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Provider Business Mailing Address
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Address Line | 1741 EASTLAKE PKWY STE 102-176
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City | CHULA VISTA
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State | CA
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Zip | 91915-2032
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Country | US
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Telephone | 619-324-4893
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Fax | 888-744-5486
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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