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General NPI Number Information
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NPI Number | 1619426004
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Entity Type | Individual
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Provider Name | NATALIA TEMBONI CARABALLO O.D.
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Gender | Female
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Dates
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Enumeration Date | 09/26/2016
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 2959 S BUCKNER BLVD
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City | DALLAS
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State | TX
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Zip | 75227-6945
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Country | US
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Telephone | 214-239-2176
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Fax | 214-239-2177
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Provider Business Mailing Address
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Address Line | 622 SUNSET HILL DR
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City | ROCKWALL
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State | TX
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Zip | 75087-3219
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Country | US
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Telephone | 480-776-4162
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 009327
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 33589
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 9557TG
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License Number State | TX
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