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General NPI Number Information
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NPI Number | 1609320142
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Entity Type | Organization
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Legal Business Name | WESTON J. CARPIAUX, DDS, MC, PC
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Dates
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Enumeration Date | 08/13/2016
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 929 FOOTHILL BLVD STE F
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City | LA VERNE
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State | CA
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Zip | 91750-3223
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Country | US
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Telephone | 909-833-7035
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Fax |
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Provider Business Mailing Address
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Address Line | 929 FOOTHILL BLVD STE F
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City | LA VERNE
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State | CA
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Zip | 91750-3223
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Country | US
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Telephone | 909-833-7035
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WESTON JAMES CARPIAUX
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Credential |
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Telephone | 925-286-1481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 63529
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License Number State | CA
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