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General NPI Number Information
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NPI Number | 1245190834
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Entity Type | Individual
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Provider Name | CARLOS NICOLAS NOWIK
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Gender | Male
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Dates
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Enumeration Date | 11/15/2025
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Last Update Date | 11/15/2025
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Provider Practice Location Address
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Address Line | 10510 MONTWOOD DR
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City | EL PASO
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State | TX
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Zip | 79935-2716
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Country | US
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Telephone | 915-308-7079
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Fax |
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Provider Business Mailing Address
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Address Line | 4717 HONDO PASS DR
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City | EL PASO
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State | TX
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Zip | 79904-1474
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Country | US
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Telephone | 754-303-2554
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 42096
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License Number State | TX
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