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General NPI Number Information
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NPI Number | 1922455252
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Entity Type | Individual
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Provider Name | ANNA MARIE ELIZABETH LUMBER CABRERA PTA
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Gender | Female
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Dates
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Enumeration Date | 05/17/2016
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Last Update Date | 05/17/2016
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Provider Practice Location Address
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Address Line | 1359 E SAMPLE RD
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City | POMPANO BEACH
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State | FL
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Zip | 33064-6278
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Country | US
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Telephone | 954-785-8252
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Fax |
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Provider Business Mailing Address
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Address Line | 5800 W SAMPLE RD APT 206
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-3234
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Country | US
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Telephone | 954-344-4145
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2119536
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License Number State | TX
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