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General NPI Number Information
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NPI Number | 1396608782
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Entity Type | Organization
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Legal Business Name | CARSON AND ACASIO DENTAL PARTNERSHIP
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 126 DEODAR AVE
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City | OXNARD
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State | CA
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Zip | 93030-4927
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Country | US
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Telephone | 805-983-0717
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Fax | 805-247-0053
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Provider Business Mailing Address
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Address Line | 126 DEODAR AVE
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City | OXNARD
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State | CA
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Zip | 93030-4927
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Country | US
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Telephone | 805-983-0717
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Fax | 805-247-0053
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CARMEN MAGANA
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Credential |
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Telephone | 805-983-0717
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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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