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General NPI Number Information
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NPI Number | 1982743266
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Entity Type | Individual
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Provider Name | RICHARD G CABRERA R.N.
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Gender | Male
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3840 MYERS ST
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City | RIVERSIDE
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State | CA
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Zip | 92503-3614
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Country | US
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Telephone | 951-358-7725
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Fax |
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Provider Business Mailing Address
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Address Line | 23319 STONY CREEK WAY
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City | MORENO VALLEY
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State | CA
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Zip | 92557-3811
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Country | US
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Telephone | 951-485-9861
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 505309
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License Number State | CA
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