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General NPI Number Information
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NPI Number | 1477833853
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Entity Type | Organization
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Legal Business Name | XAVIER J. CARO M.D., A MEDICAL CORPORATION
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Dates
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Enumeration Date | 08/17/2011
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Last Update Date | 08/26/2011
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Provider Practice Location Address
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Address Line | 18350 ROSCOE BLVD STE 418
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4174
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Country | US
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Telephone | 818-993-0125
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Fax | 818-993-4319
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Provider Business Mailing Address
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Address Line | 18350 ROSCOE BLVD STE 418
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4174
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Country | US
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Telephone | 818-993-0125
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Fax | 818-993-4319
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Authorized Official
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Title or Position | OWNER
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Name | DR. XAVIER JOSEPH CARO
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Credential | M.D.
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Telephone | 818-993-0125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | G28544
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License Number State | CA
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