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NPI 1588580104

NPI 1588580104 : CAROLINA CAZARES AYALA : AUA PRIETA, SONORA

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General NPI Number Information
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    NPI Number           |    1588580104
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    Entity Type          |    Organization 
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    Legal Business Name  |    CAROLINA CAZARES AYALA 
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Dates
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    Enumeration Date     |    06/26/2026
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    Last Update Date     |    06/26/2026
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Provider Practice Location Address
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    Address Line         |    CALLE 3 #550 
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    City                 |    AUA PRIETA
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    State                |    SONORA
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    Zip                  |    84210
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    Country              |    MX
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    Telephone            |    
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    601 E 10TH ST # 286 
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    City                 |    DOUGLAS
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    State                |    AZ
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    Zip                  |    85607-2038
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DENTIST
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    Name                 |    DR. CAROLINA  CAZARES AYALA 
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    Credential           |    DDS
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    Telephone            |    619-272-9025
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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       |    
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    License Number State |    
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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       |    
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    License Number State |    
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