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General NPI Number Information
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NPI Number | 1881510691
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Entity Type | Individual
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Provider Name | CATALINA CARRASCO DDS
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Gender | Female
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 489 FORKS OF THE RIVER PKWY
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City | SEVIERVILLE
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State | TN
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Zip | 37862-3422
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Country | US
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Telephone | 865-453-0032
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Fax | 865-378-8636
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Provider Business Mailing Address
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Address Line | 1995 ALDER BRANCH LN
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City | GERMANTOWN
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State | TN
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Zip | 38139-4466
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Country | US
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Telephone | 901-230-9102
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 13227
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License Number State | TN
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