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General NPI Number Information
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NPI Number | 1629754056
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Entity Type | Individual
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Provider Name | LOUISE SALALILA CARLOS DMD
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Gender | Female
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Dates
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Enumeration Date | 06/22/2023
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 1030 MCKEE FARM LN
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City | BELMONT
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State | NC
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Zip | 28012-8687
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Country | US
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Telephone | 704-829-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 254 MAGICAL WAY
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City | KISSIMMEE
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State | FL
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Zip | 34744-5519
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Country | US
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Telephone | 407-973-1147
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN28236
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 14161
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License Number State | NC
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