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General NPI Number Information
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NPI Number | 1528020914
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Entity Type | Individual
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Provider Name | CARLOS ALBERTO DIAZ-LABOY DMD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 1144 AIRPORT BLVD STE 240
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City | AUSTIN
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State | TX
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Zip | 78702-3165
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Country | US
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Telephone | 512-666-2466
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Fax |
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Provider Business Mailing Address
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Address Line | 9301 OLD BEE CAVES RD APT 127
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City | AUSTIN
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State | TX
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Zip | 78735-8276
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Country | US
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Telephone | 512-921-1183
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 049653
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License Number State | NY
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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 | DS035474
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2024
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 27782
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License Number State | TX
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