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General NPI Number Information
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NPI Number | 1508628165
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Entity Type | Individual
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Provider Name | CAROLINA GERGES BDS, MS
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Gender | Female
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 915 WILLIAM D FITCH PKWY STE 300
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City | COLLEGE STATION
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State | TX
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Zip | 77845-4638
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Country | US
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Telephone | 979-690-7201
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Fax |
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Provider Business Mailing Address
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Address Line | 3908 ESKEW DR
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City | COLLEGE STATION
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State | TX
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Zip | 77845-2123
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Country | US
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Telephone | 551-273-9790
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 42000
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | RES004561
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License Number State | OH
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