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General NPI Number Information
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NPI Number | 1598093288
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Entity Type | Individual
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Provider Name | CAROLINE M. KACER DMD
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Gender | Female
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Dates
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Enumeration Date | 11/18/2009
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Last Update Date | 09/09/2010
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Provider Practice Location Address
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Address Line | 6471 N. LA CHOLLA BLVD 101
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City | TUCSON
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State | AZ
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Zip | 85741
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Country | US
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Telephone | 520-742-6136
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Fax | 520-742-5721
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Provider Business Mailing Address
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Address Line | 6471 N LA CHOLLA BLVD 101
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City | TUCSON
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State | AZ
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Zip | 85741-3141
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Country | US
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Telephone | 520-742-6136
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Fax | 520-742-5721
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | D7887
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License Number State | AZ
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