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General NPI Number Information
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NPI Number | 1093294852
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Entity Type | Individual
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Provider Name | KARLA JUDITH SERMENO CASTILLO
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Gender | Female
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Dates
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Enumeration Date | 08/11/2018
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 5841 NW LOOP 410 STE 110
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City | SAN ANTONIO
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State | TX
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Zip | 78238-2526
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Country | US
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Telephone | 210-521-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 25407 MESA VW
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4825
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Country | US
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Telephone | 323-632-3421
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 34481
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License Number State | TX
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