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General NPI Number Information
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NPI Number | 1497882518
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Entity Type | Individual
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Provider Name | CARLOS NASSER MOHAMED D.D.S., M.P.H.
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Gender | Male
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 03/27/2018
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Provider Practice Location Address
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Address Line | 6800 N 10TH ST
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City | MCALLEN
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State | TX
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Zip | 78504-3293
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Country | US
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Telephone | 956-664-2244
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Fax |
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Provider Business Mailing Address
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Address Line | 5408 N CYNTHIA ST
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City | MCALLEN
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State | TX
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Zip | 78504-2223
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Country | US
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Telephone | 210-393-4656
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 22226
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License Number State | TX
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