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General NPI Number Information
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NPI Number | 1013900620
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Entity Type | Individual
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Provider Name | SHERRY ANGELICA CARAVEO DDS, MS
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Gender | Female
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | PSC 836 BOX 2670
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City | FPO
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State | AE
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Zip | 09636-9998
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Country | US
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Telephone | 314-624-4871
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 836 BOX 2670
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City | FPO
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State | AE
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Zip | 09636-9998
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Country | US
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Telephone | 314-624-4871
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 52834
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 52834
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License Number State | CA
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