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General NPI Number Information
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NPI Number | 1790868867
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Entity Type | Individual
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Provider Name | CAROLINE REBECCA LAROSILIERE D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 6000 LAUREL BOWIE RD STE 200
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City | BOWIE
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State | MD
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Zip | 20715-4000
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Country | US
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Telephone | 301-805-5437
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Fax | 301-805-5439
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Provider Business Mailing Address
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Address Line | 6000 LAUREL BOWIE RD STE 200
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City | BOWIE
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State | MD
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Zip | 20715-4000
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Country | US
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Telephone | 301-805-5437
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Fax | 301-805-5439
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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 | DEN1000025
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 11043
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 12596
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | D.007400-C
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License Number State | AL
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Taxonomy #5
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 0401419215
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 30.027754
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License Number State | OH
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Taxonomy #7
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 12378
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License Number State | MD
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