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General NPI Number Information
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NPI Number | 1366752107
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Entity Type | Individual
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Provider Name | CAROLINA SUELDO M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 02/25/2019
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Provider Practice Location Address
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Address Line | 729 N MEDICAL CENTER DR W STE 205
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City | CLOVIS
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State | CA
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Zip | 93611-6885
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Country | US
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Telephone | 559-299-7700
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Fax | 559-297-9679
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Provider Business Mailing Address
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Address Line | 729 N MEDICAL CENTER DR W STE 205
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City | CLOVIS
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State | CA
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Zip | 93611-6885
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Country | US
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Telephone |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME123211
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 051012
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | A113893
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License Number State | CA
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