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General NPI Number Information
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NPI Number | 1235796954
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Entity Type | Individual
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Provider Name | CAROLINA GARCIA DMD
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Gender | Female
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Dates
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Enumeration Date | 05/29/2019
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 14866 OLD SAINT AUGUSTINE RD STE 111
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City | JACKSONVILLE
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State | FL
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Zip | 32258-2611
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Country | US
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Telephone | 904-342-6222
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Fax |
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Provider Business Mailing Address
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Address Line | 8150 POINT MEADOWS DR APT 1712
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City | JACKSONVILLE
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State | FL
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Zip | 32256-0610
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Country | US
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Telephone | 786-376-9922
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN24116
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License Number State | FL
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