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General NPI Number Information
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NPI Number | 1992490361
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Entity Type | Individual
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Provider Name | CAROLINA MILITO VIZCARRA DDS
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Gender | Female
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 1055 JABARA AVE
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City | GOLDSBORO
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State | NC
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Zip | 27531-2311
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Country | US
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Telephone | 919-722-1933
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Fax |
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Provider Business Mailing Address
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Address Line | 8800 NW 36TH ST APT 4603
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City | DORAL
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State | FL
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Zip | 33178-3493
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Country | US
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Telephone | 813-943-3464
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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 | DN30219
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License Number State | FL
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