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General NPI Number Information
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NPI Number | 1992097083
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Entity Type | Organization
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Legal Business Name | CECILIA CARPIO PLLC
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Dates
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Enumeration Date | 05/06/2011
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Last Update Date | 07/27/2011
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Provider Practice Location Address
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Address Line | 11041 SHADOW CREEK PKWY SUITE NUMBER 125
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City | PEARLAND
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State | TX
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Zip | 77584-7402
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Country | US
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Telephone | 832-661-4656
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Fax |
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Provider Business Mailing Address
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Address Line | 11041 SHADOW CREEK PKWY SUITE # 125
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City | PEARLAND
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State | TX
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Zip | 77584-7402
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Country | US
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Telephone | 832-661-4656
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CECILIA CARPIO
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Credential | DDS
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Telephone | 832-661-4656
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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 | 24880
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License Number State | TX
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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 | 24880
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License Number State | TX
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