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General NPI Number Information
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NPI Number | 1578792552
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Entity Type | Individual
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Provider Name | SANDRA E. CARVALHO DDS
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Gender | Female
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Dates
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Enumeration Date | 07/10/2009
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Last Update Date | 03/23/2012
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Provider Practice Location Address
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Address Line | 2820 OAK AVE
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City | COCONUT GROVE
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State | FL
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Zip | 33133-5208
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Country | US
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Telephone | 305-460-4499
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Fax | 305-441-0883
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Provider Business Mailing Address
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Address Line | 16871 PATIO VILLAGE CT
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City | WESTON
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State | FL
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Zip | 33326-1621
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Country | US
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Telephone | 954-732-1374
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 18811
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License Number State | FL
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