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General NPI Number Information
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NPI Number | 1043385560
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Entity Type | Organization
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Legal Business Name | AMERICARE DENTAL INC
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 131 E MILL AVE
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City | PORTERVILLE
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State | CA
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Zip | 93257
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Country | US
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Telephone | 559-781-1122
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Fax | 559-781-1161
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Provider Business Mailing Address
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Address Line | 131 E MILL AVE
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City | PORTERVILLE
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State | CA
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Zip | 93257
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Country | US
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Telephone | 559-781-1122
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Fax | 559-781-1161
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARMERON ABBAS TORABI
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Credential | DDS
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Telephone | 559-781-1122
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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 | 43294
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License Number State | CA
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