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NPI 1013703289

NPI 1013703289 : DANIEL & CARA SOROKOLIT, DMD, PLLC : FORT WORTH, TX

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General NPI Number Information
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    NPI Number           |    1013703289
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    Entity Type          |    Organization 
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    Legal Business Name  |    DANIEL & CARA SOROKOLIT, DMD, PLLC 
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Dates
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    Enumeration Date     |    04/15/2025
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    Last Update Date     |    04/15/2025
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Provider Practice Location Address
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    Address Line         |    3401 HULEN ST 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76107-6141
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    Country              |    US
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    Telephone            |    817-765-1600
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3401 HULEN ST 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76107-6141
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DENTIST/OWNER
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    Name                 |     CARA  SOROKOLIT 
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    Credential           |    DMD
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    Telephone            |    817-765-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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