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General NPI Number Information
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NPI Number | 1518653773
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Entity Type | Organization
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Legal Business Name | DENTAL THEORY BRANDON
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Dates
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Enumeration Date | 04/12/2023
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 1168 BELL SHOALS RD
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City | BRANDON
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State | FL
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Zip | 33511-9014
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Country | US
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Telephone | 813-822-3058
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Fax | 813-822-3059
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Provider Business Mailing Address
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Address Line | 1168 BELL SHOALS RD
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City | BRANDON
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State | FL
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Zip | 33511-9014
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Country | US
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Telephone | 813-822-3058
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Fax | 813-822-3059
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | DR. CHRIS JOHN KARAPASHA
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Credential | DDS
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Telephone | 813-822-3058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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