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General NPI Number Information
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NPI Number | 1619275187
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Entity Type | Individual
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Provider Name | GEORGINA PATRICIA CARABARIN DDS
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Gender | Female
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Dates
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Enumeration Date | 03/08/2011
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Last Update Date | 03/08/2011
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Provider Practice Location Address
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Address Line | 546 PORT HARWICK
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City | CHULA VISTA
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State | CA
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Zip | 91913-1228
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Country | US
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Telephone | 619-733-6038
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Fax |
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Provider Business Mailing Address
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Address Line | PASEO DE LOS HEROES # 10501-214
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City | TIJUANA
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State | ZONA RIO
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Zip | 22340
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Country | MX
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Telephone | 619-342-1386
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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 | 1859361
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License Number State | ZZ
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