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General NPI Number Information
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NPI Number | 1487591319
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Entity Type | Individual
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Provider Name | KARAN R DHARIA
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Gender | Male
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 15495 SW SEQUOIA PKWY STE 120
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City | TIGARD
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State | OR
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Zip | 97224-6101
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Country | US
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Telephone | 971-405-8635
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Fax |
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Provider Business Mailing Address
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Address Line | 2510 NE 121ST ST
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City | VANCOUVER
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State | WA
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Zip | 98686-3244
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Country | US
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Telephone | 657-217-1833
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0008X
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Taxonomy Name | Oral and Maxillofacial Radiology Dentistry
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License Number | DE61627491
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number | D12296
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License Number State | OR
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