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General NPI Number Information
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NPI Number | 1548325236
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Entity Type | Individual
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Provider Name | MAHMOUD KARIMIPOUR D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/24/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 105 BEN CASEY DR SUITE # 121
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City | FORT MILL
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State | SC
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Zip | 29708-8561
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Country | US
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Telephone | 803-802-3681
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Fax | 803-802-3683
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Provider Business Mailing Address
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Address Line | 105 BEN CASEY DR SUITE # 121
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City | FORT MILL
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State | SC
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Zip | 29708-8561
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Country | US
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Telephone | 803-802-3681
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Fax | 803-802-3683
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 3647
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 616
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License Number State | SC
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