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General NPI Number Information
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NPI Number | 1275708570
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Entity Type | Organization
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Legal Business Name | KAREN WILLIAMS COOPER DDS MANAGEMENT LLC
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 101 LITTLE NECK RD STE F
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City | SAVANNAH
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State | GA
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Zip | 31419-8828
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Country | US
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Telephone | 912-920-6202
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Fax | 912-257-4004
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Provider Business Mailing Address
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Address Line | 101 LITTLE NECK RD STE F
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City | SAVANNAH
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State | GA
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Zip | 31419-8828
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Country | US
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Telephone | 912-920-6202
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Fax | 912-257-4004
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Authorized Official
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Title or Position | CONSULTANT
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Name | MRS. JILL R ANDREAE
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Credential |
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Telephone | 847-245-2451
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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 | DN011803
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License Number State | GA
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