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General NPI Number Information
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NPI Number | 1982898789
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Entity Type | Organization
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Legal Business Name | WILFRED CABAHUG LLC
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 2100 WESCOTT DR
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City | FLEMINGTON
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State | NJ
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Zip | 08822-4603
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Country | US
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Telephone | 908-237-9092
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Fax | 908-237-9095
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Provider Business Mailing Address
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Address Line | PO BOX 622
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City | FRANKLIN LAKES
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State | NJ
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Zip | 07417-0622
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Country | US
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Telephone | 908-300-3700
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Fax | 201-847-0059
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILFRED CABAHUG
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Credential | MD
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Telephone | 609-613-3658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA06931500
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License Number State | NJ
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