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NPI 1073655577

NPI 1073655577 : STEPHEN WILLIAM KARP DDS : ENCINO, CA

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General NPI Number Information
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    NPI Number           |    1073655577
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHEN WILLIAM KARP DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/12/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    ENCINO MEDICAL PLAZA 5400 BALBOA BLVD SUITE 211
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    City                 |    ENCINO
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    State                |    CA
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    Zip                  |    91316-5217
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    Country              |    US
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    Telephone            |    818-986-7470
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    Fax                  |    818-990-6012
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Provider Business Mailing Address
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    Address Line         |    5400 BALBOA BLVD STE 211 
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    City                 |    ENCINO
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    State                |    CA
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    Zip                  |    91346-5217
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    Country              |    US
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    Telephone            |    818-986-7470
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    Fax                  |    818-990-6012
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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       |    25267
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    License Number State |    CA
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