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General NPI Number Information
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NPI Number | 1578950325
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Entity Type | Organization
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Legal Business Name | KAREN BERRIGAN DMD, MS, PC
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Dates
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Enumeration Date | 04/20/2015
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Last Update Date | 04/20/2015
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Provider Practice Location Address
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Address Line | 20100 N 51ST AVE STE B230
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City | GLENDALE
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State | AZ
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Zip | 85308-5097
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Country | US
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Telephone | 623-931-4386
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Fax | 623-930-0491
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Provider Business Mailing Address
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Address Line | 20100 N 51ST AVE STE B230
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City | GLENDALE
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State | AZ
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Zip | 85308-5097
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Country | US
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Telephone | 623-931-4386
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Fax | 623-930-0491
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Authorized Official
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Title or Position | OWNER
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Name | DR. KAREN LEA BERRIGAN
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Credential | DMD
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Telephone | 623-931-4386
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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 | 3549
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License Number State | AZ
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