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General NPI Number Information
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NPI Number | 1467602672
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Entity Type | Organization
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Legal Business Name | KAREN BRUGGERS DDS MS PA
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Dates
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Enumeration Date | 09/24/2008
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Last Update Date | 09/24/2008
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Provider Practice Location Address
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Address Line | 1400 CRESCENT GREEN SUITE 210
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City | CARY
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State | NC
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Zip | 27518
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Country | US
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Telephone | 919-858-8193
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Fax | 919-858-8198
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Provider Business Mailing Address
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Address Line | 1400 CRESCENT GREEN SUITE 210
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City | CARY
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State | NC
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Zip | 27518
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Country | US
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Telephone | 919-858-8193
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Fax | 919-858-8198
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KAREN JEAN BRUGGERS
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Credential | DDS MS
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Telephone | 919-858-8193
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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 | 4167
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 5699
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License Number State | NC
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