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General NPI Number Information
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NPI Number | 1093884280
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Entity Type | Individual
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Provider Name | KAREN DIZON COMPETENTE D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4255 PHEASANT RIDGE DR NE SUITE 407
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City | BLAINE
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State | MN
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Zip | 55449-4537
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Country | US
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Telephone | 763-225-6100
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Fax | 763-225-6101
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Provider Business Mailing Address
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Address Line | 13908 52ND AVE N
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City | PLYMOUTH
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State | MN
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Zip | 55446-1631
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Country | US
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Telephone | 763-208-6414
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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 | D11271
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License Number State | MN
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