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General NPI Number Information
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NPI Number | 1003993445
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Entity Type | Individual
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Provider Name | KAREN MARIE SEPT DMD
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 1246 W A ST
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City | MOSCOW
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State | ID
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Zip | 83843-2277
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Country | US
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Telephone | 208-882-9999
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Fax | 208-882-9998
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Provider Business Mailing Address
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Address Line | 1246 W A ST
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City | MOSCOW
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State | ID
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Zip | 83843-2277
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Country | US
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Telephone | 208-882-9999
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Fax | 208-882-9998
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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 | DE00011112
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License Number State | WA
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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 | D-4108-PD
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License Number State | ID
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