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General NPI Number Information
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NPI Number | 1861684763
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Entity Type | Organization
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Legal Business Name | DOUGLAS C CABLE, MD, FACP
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | 351 HOSPITAL RD # 604
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3509
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Country | US
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Telephone | 949-574-2628
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Fax |
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Provider Business Mailing Address
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Address Line | 351 HOSPITAL RD # 604
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3509
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Country | US
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Telephone | 949-574-2628
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. DOUGLAS CHARLES CABLE
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Credential | MD
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Telephone | 949-574-2628
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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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