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General NPI Number Information
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NPI Number | 1518497643
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Entity Type | Individual
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Provider Name | SYLVIA OLIVIA CARLOS DDS
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Gender | Female
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Dates
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Enumeration Date | 06/12/2017
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 22032 EL PASEO STE 200
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-3947
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Country | US
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Telephone | 949-589-3344
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Fax |
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Provider Business Mailing Address
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Address Line | 3612 FLORISTA ST
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-2423
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Country | US
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Telephone | 562-598-4207
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 32989
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License Number State | TX
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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 | 106289
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License Number State | CA
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