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General NPI Number Information
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NPI Number | 1033560982
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Entity Type | Individual
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Provider Name | KAREN NICHOLE SCHENK DDS
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Gender | Female
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Dates
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Enumeration Date | 06/22/2016
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Last Update Date | 06/22/2016
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Provider Practice Location Address
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Address Line | 1481 W 10TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-2803
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Country | US
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Telephone | 317-988-2733
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Fax |
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Provider Business Mailing Address
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Address Line | 310 W MICHIGAN ST APT 336
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-3237
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Country | US
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Telephone | 812-881-9806
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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 | 12012540A
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License Number State | IN
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