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General NPI Number Information
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NPI Number | 1255487443
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Entity Type | Individual
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Provider Name | KARYN KARTJE DMD
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Gender | Female
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Dates
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Enumeration Date | 01/28/2007
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Last Update Date | 11/22/2014
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Provider Practice Location Address
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Address Line | 1201 SE TECH CENTER DR 150
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City | VANCOUVER
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State | WA
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Zip | 98683-5512
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Country | US
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Telephone | 360-892-7107
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Fax |
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Provider Business Mailing Address
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Address Line | 14600 SE VALENCIA DR 212
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City | VANCOUVER
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State | WA
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Zip | 98683-5435
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Country | US
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Telephone | 503-939-1402
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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 | DE00010801
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D8864
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License Number State | OR
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