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General NPI Number Information
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NPI Number | 1053513283
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Entity Type | Individual
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Provider Name | KAREN ROSE KAMER DMD,MS
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Gender | Female
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8489 FISHERS CENTER DR
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City | FISHERS
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State | IN
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Zip | 46038-2318
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Country | US
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Telephone | 317-578-2224
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Fax |
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Provider Business Mailing Address
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Address Line | 4128 WYTHE LN
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-4224
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Country | US
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Telephone | 317-750-3855
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 12010821A
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License Number State | IN
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