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General NPI Number Information
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NPI Number | 1003594326
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Entity Type | Individual
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Provider Name | MIGUEL ANGEL IBARRA DDS
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Gender | Male
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Dates
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Enumeration Date | 07/06/2023
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 4226 E US 64 ALT
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City | MURPHY
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State | NC
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Zip | 28906-6846
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Country | US
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Telephone | 828-837-8131
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Fax | 877-930-7732
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Provider Business Mailing Address
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Address Line | PO BOX 100181
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City | COLUMBIA
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State | SC
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Zip | 29202-3141
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Country | US
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Telephone | 828-202-5200
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Fax | 828-479-2917
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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 | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 14518
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 14518
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License Number State | NC
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