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General NPI Number Information
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NPI Number | 1972242105
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Entity Type | Individual
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Provider Name | AUSTIN JARED CARANGELO DDS
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Gender | Male
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Dates
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Enumeration Date | 06/04/2022
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Last Update Date | 06/04/2022
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Provider Practice Location Address
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Address Line | 951 W MEMORIAL HWY
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City | HARMONY
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State | NC
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Zip | 28634-9352
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Country | US
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Telephone | 704-539-5544
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Fax |
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Provider Business Mailing Address
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Address Line | 1712 UMSTEAD ST
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City | CHARLOTTE
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State | NC
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Zip | 28205-2957
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Country | US
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Telephone | 704-252-0610
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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 | 12714
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License Number State | NC
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