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General NPI Number Information
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NPI Number | 1982900957
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Entity Type | Individual
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Provider Name | MANUEL DAVID CABRERA PA-C
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Gender | Male
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 13001 N KENDALL DR
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City | MIAMI
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State | FL
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Zip | 33186-1708
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Country | US
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Telephone | 786-596-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 18100 NE 19TH AVE
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City | N MIAMI BEACH
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State | FL
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Zip | 33162-1606
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Country | US
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Telephone | 904-886-5385
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Fax | 904-647-7727
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9105651
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License Number State | FL
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