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General NPI Number Information
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NPI Number | 1619561446
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Entity Type | Organization
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Legal Business Name | KARE DENTISTRY PLLC
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Dates
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Enumeration Date | 02/23/2021
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Last Update Date | 02/23/2021
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Provider Practice Location Address
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Address Line | 4447 N CENTRAL EXPY # 110-109
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City | DALLAS
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State | TX
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Zip | 75205-4245
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Country | US
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Telephone | 800-787-2812
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Fax | 877-370-6515
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Provider Business Mailing Address
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Address Line | 2500 W BROADWAY
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City | LOUISVILLE
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State | KY
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Zip | 40211-1081
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Country | US
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Telephone | 800-787-2812
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Fax | 877-370-6515
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Authorized Official
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Title or Position | OWNER
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Name | DR. KWANE WATSON
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Credential | DMD
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Telephone | 502-523-2347
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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 |
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License Number State |
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