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General NPI Number Information
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NPI Number | 1275039257
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Entity Type | Organization
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Legal Business Name | KARINA BARTZ DDS PLLC
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Dates
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Enumeration Date | 03/30/2018
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Last Update Date | 04/22/2019
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Provider Practice Location Address
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Address Line | 110 SMIRL DRIVE SUITE 101
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City | HEATH
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State | TX
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Zip | 75032
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Country | US
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Telephone | 917-583-9507
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Fax |
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Provider Business Mailing Address
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Address Line | 110 SMIRL DR STE 101
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City | HEATH
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State | TX
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Zip | 75032-2080
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Country | US
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Telephone | 972-213-0063
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | KARINA BARTZ
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Credential | DDS
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Telephone | 972-213-0063
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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 | 30364
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License Number State | TX
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