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General NPI Number Information
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NPI Number | 1518344035
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Entity Type | Organization
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Legal Business Name | CARNAGGIO AND PIPER DMD MS PA
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Dates
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Enumeration Date | 05/05/2015
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Last Update Date | 03/06/2018
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Provider Practice Location Address
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Address Line | 181 W WILKES MEDICAL CENTER RD
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City | FERGUSON
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State | NC
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Zip | 28624-8925
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Country | US
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Telephone | 336-973-5060
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Fax | 336-973-5150
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Provider Business Mailing Address
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Address Line | 181 W. WILKES MEDICAL CENTER RD
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City | FERGUSON
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State | NC
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Zip | 28624
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Country | US
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Telephone | 336-973-5060
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Fax | 336-973-5150
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS VINCENT CARNAGGIO
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Credential | DMD, MS, PROS
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Telephone | 828-294-1448
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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 | 8685
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8685
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 8685
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License Number State | NC
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