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General NPI Number Information
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NPI Number | 1447558739
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Entity Type | Organization
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Legal Business Name | CAROLINE LAROSILIERE DDS AND ASSOCIATES
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Dates
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Enumeration Date | 03/10/2011
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Last Update Date | 04/25/2019
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Provider Practice Location Address
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Address Line | 9811 GREENBELT RD STE 208
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City | LANHAM
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State | MD
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Zip | 20706
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Country | US
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Telephone | 301-552-3807
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Fax | 301-552-3809
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Provider Business Mailing Address
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Address Line | 9811 GREENBELT RD STE 208
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City | LANHAM
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State | MD
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Zip | 20706-2219
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Country | US
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Telephone | 301-552-3807
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Fax | 301-552-3809
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. CAROLINE LAROSILIERE
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Credential | DDS
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Telephone | 301-805-5437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 12378
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License Number State | MD
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