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General NPI Number Information
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NPI Number | 1861406324
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Entity Type | Individual
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Provider Name | DOUGLAS CHARLES CABLE MD
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 04/25/2019
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Provider Practice Location Address
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Address Line | 320 SUPERIOR AVE #290
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City | NEWPORT BEACH
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State | CA
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Zip | 92663
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Country | US
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Telephone | 949-574-2628
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Fax | 949-574-2185
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Provider Business Mailing Address
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Address Line | 320 SUPERIOR AVE #290
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City | NEWPORT BEACH
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State | CA
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Zip | 92663
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Country | US
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Telephone | 949-574-2628
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Fax | 949-574-2185
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | G39307
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License Number State | CA
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