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General NPI Number Information
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NPI Number | 1891032520
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Entity Type | Individual
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Provider Name | LEILA CABRERA GONZALES PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 01/15/2013
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Last Update Date | 01/15/2013
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Provider Practice Location Address
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Address Line | 400 CRAVEN ROAD
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City | SAN MARCOS
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State | CA
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Zip | 92078
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Country | US
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Telephone | 858-382-2549
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Fax | 858-312-6631
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Provider Business Mailing Address
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Address Line | 10558 HOLLINGSWORTH WAY
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City | SAN DIEGO
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State | CA
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Zip | 92127-2870
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Country | US
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Telephone | 858-382-2549
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Fax | 858-312-6631
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 57399
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License Number State | CA
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