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General NPI Number Information
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NPI Number | 1285957548
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Entity Type | Organization
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Legal Business Name | KAREN CARLTON, DMD, LLC
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Dates
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Enumeration Date | 03/01/2010
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Last Update Date | 03/01/2010
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Provider Practice Location Address
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Address Line | 1595 CENTRAL ST
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City | STOUGHTON
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State | MA
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Zip | 02072-1694
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Country | US
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Telephone | 781-344-1505
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Fax | 781-341-2677
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Provider Business Mailing Address
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Address Line | 1595 CENTRAL ST
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City | STOUGHTON
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State | MA
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Zip | 02072-1694
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Country | US
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Telephone | 781-344-1505
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Fax | 781-341-2677
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Authorized Official
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Title or Position | DENTIST
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Name | DR. KAREN CARLTON
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Credential | DMD
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Telephone | 781-344-1505
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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 | 17551
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License Number State | MA
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