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General NPI Number Information
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NPI Number | 1992732788
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Entity Type | Individual
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Provider Name | DR. ARACELI CABARCAS
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Gender | Female
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 06/30/2024
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Provider Practice Location Address
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Address Line | 901 E SOUTHWIND RD
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City | SPRINGFIELD
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State | IL
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Zip | 62703-5125
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Country | US
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Telephone | 217-720-6912
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Fax |
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Provider Business Mailing Address
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Address Line | 7112 GARDENVIEW LN
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City | SPRINGFIELD
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State | IL
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Zip | 62712-8907
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Country | US
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Telephone | 217-270-6912
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 099819
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 071010232
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 0005085
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 203117
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License Number State | ID
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