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General NPI Number Information
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NPI Number | 1265924096
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Entity Type | Individual
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Provider Name | KARISSA HANDA DDS, MSD
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Gender | Female
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Dates
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Enumeration Date | 06/06/2018
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 382 W LAKE MEAD PKWY STE 130
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City | HENDERSON
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State | NV
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Zip | 89015-7292
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Country | US
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Telephone | 702-558-8543
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Fax |
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Provider Business Mailing Address
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Address Line | 1867 ANTON WAY
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City | UPLAND
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State | CA
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Zip | 91784-1508
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Country | US
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Telephone | 909-967-8553
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 106073
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | S3-393C
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License Number State | NV
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