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General NPI Number Information
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NPI Number | 1306614128
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Entity Type | Organization
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Legal Business Name | KARENA CRAEMER DDS INC
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Dates
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Enumeration Date | 12/12/2023
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Last Update Date | 12/12/2023
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Provider Practice Location Address
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Address Line | 10530 ATLANTIC AVE
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City | SOUTH GATE
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State | CA
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Zip | 90280-7024
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Country | US
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Telephone | 323-569-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 17707 CRENSHAW BLVD
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City | TORRANCE
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State | CA
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Zip | 90504-4100
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KARENA CRAEMER
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Credential | DDS
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Telephone | 310-343-0234
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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 |
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License Number State |
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