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General NPI Number Information
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NPI Number | 1861229692
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Entity Type | Individual
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Provider Name | YULISSA VERONICA CABRERA
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Gender | Female
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Dates
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Enumeration Date | 09/16/2024
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 600 S 21ST AVE
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City | YUMA
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State | AZ
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Zip | 85364-2727
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Country | US
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Telephone | 928-502-8051
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Fax |
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Provider Business Mailing Address
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Address Line | 3370 S AVENUE 8 E APT L203
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City | YUMA
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State | AZ
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Zip | 85365-0092
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Country | US
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Telephone | 928-318-7263
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLPA15648
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License Number State | AZ
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