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General NPI Number Information
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NPI Number | 1891877056
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Entity Type | Individual
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Provider Name | EUFROCINO CABOTAJE MARTINEZ M. D.
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Gender | Male
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12820 STUDEBAKER RD SUITE 100
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City | NORWALK
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State | CA
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Zip | 90650-2578
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Country | US
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Telephone | 562-651-0021
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Fax | 562-651-1122
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Provider Business Mailing Address
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Address Line | 2403 W 236TH PL
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City | TORRANCE
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State | CA
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Zip | 90501-5954
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Country | US
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Telephone | 310-539-9584
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Fax | 310-539-2713
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A35980
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License Number State | CA
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