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General NPI Number Information
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NPI Number | 1366004327
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Entity Type | Individual
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Provider Name | ANDREA MONTOYA SARMENTO DMD
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Gender | Female
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Dates
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Enumeration Date | 06/30/2019
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 582 KANNAPOLIS PKWY
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City | KANNAPOLIS
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State | NC
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Zip | 28027-8215
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Country | US
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Telephone | 704-273-5020
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Fax |
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Provider Business Mailing Address
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Address Line | 11629 SOUTHCREST LN
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City | PINEVILLE
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State | NC
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Zip | 28134-9157
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Country | US
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Telephone | 813-731-5671
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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 | 35348
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 14280
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License Number State | NC
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