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General NPI Number Information
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NPI Number | 1154183739
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Entity Type | Organization
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Legal Business Name | JAMES SIKES DMD MD AND CAROLINE GARCIA DDS MD LLC
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 6912 FERN LOOP STE A
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City | SHREVEPORT
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State | LA
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Zip | 71105-4176
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Country | US
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Telephone | 318-585-7667
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Fax | 318-585-6912
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Provider Business Mailing Address
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Address Line | 6912 FERN LOOP STE A
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City | SHREVEPORT
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State | LA
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Zip | 71105-4176
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Country | US
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Telephone | 318-585-7667
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Fax | 318-585-6912
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Authorized Official
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Title or Position | ORAL SURGEON
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Name | DR. CAROLINE SIKES GARCIA
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Credential | DDS MD
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Telephone | 318-560-3339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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