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General NPI Number Information
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NPI Number | 1447771043
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Entity Type | Organization
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Legal Business Name | KARSKI-SPOKANE ORTHODONTICS PC
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Dates
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Enumeration Date | 07/05/2017
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Last Update Date | 07/05/2017
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Provider Practice Location Address
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Address Line | 659 CASTLE CREEK DRIVE EXT
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City | SEVEN FIELDS
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State | PA
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Zip | 16046-7872
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Country | US
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Telephone | 724-991-0103
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Fax |
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Provider Business Mailing Address
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Address Line | 141 HIDDEN SPRINGS DR
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City | RENFREW
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State | PA
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Zip | 16053-8104
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Country | US
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Telephone | 724-991-0103
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. MELISSA KARSKI
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Credential | DMD, MDS
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Telephone | 724-991-0103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DS040230
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License Number State | PA
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