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General NPI Number Information
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NPI Number | 1649287434
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Entity Type | Individual
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Provider Name | CARLOS A MORALES
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 1803 N US HIGHWAY 83 STE 2
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City | ZAPATA
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State | TX
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Zip | 78076-3526
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Country | US
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Telephone | 956-413-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 2395 E DEL MAR BLVD UNIT 451795
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City | LAREDO
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State | TX
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Zip | 78045-0174
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Country | US
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Telephone | 956-285-2166
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 20492
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License Number State | TX
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