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General NPI Number Information
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NPI Number | 1497764013
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Entity Type | Organization
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Legal Business Name | CARLOS H POWERS DDS PC
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1334 G STREET SE
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City | WASHINGTON
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State | DC
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Zip | 20003-3021
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Country | US
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Telephone | 202-675-4544
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Fax | 202-543-2169
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Provider Business Mailing Address
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Address Line | 1334 G STREET SE
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City | WASHINGTON
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State | DC
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Zip | 20003-3021
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Country | US
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Telephone | 202-675-4544
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Fax | 202-543-2169
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Authorized Official
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Title or Position | DENTIST
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Name | DR. CARLOS H POWERS
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Credential | DDS
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Telephone | 202-675-4544
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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 | 0469
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License Number State | DC
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