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General NPI Number Information
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NPI Number | 1851842900
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Entity Type | Organization
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Legal Business Name | CARLOS J. ROMERO D.D.S. AND ASSOCAITES P.L.L.C
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Dates
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Enumeration Date | 10/24/2016
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Last Update Date | 10/24/2016
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Provider Practice Location Address
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Address Line | 3120 LA PITA MANGANA ROAD SUITE #200
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City | LAREDO
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State | TX
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Zip | 78046
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Country | US
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Telephone | 956-235-1122
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 452286
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City | LAREDO
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State | TX
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Zip | 78045-0056
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CARLOS ROMERO
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Credential | D.D.S.
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Telephone | 956-723-5151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 21405
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License Number State | TX
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