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General NPI Number Information
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NPI Number | 1710245725
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Entity Type | Organization
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Legal Business Name | KAREN PARVIN DMD PC
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Dates
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Enumeration Date | 04/26/2012
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Last Update Date | 11/16/2020
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Provider Practice Location Address
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Address Line | 1464 MOUNT PLEASANT RD SUITE 26
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City | CHESAPEAKE
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State | VA
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Zip | 23322-4043
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Country | US
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Telephone | 757-233-9885
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Fax | 757-233-0182
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Provider Business Mailing Address
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Address Line | 1464 MOUNT PLEASANT RD SUITE 26
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City | CHESAPEAKE
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State | VA
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Zip | 23322-4043
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Country | US
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Telephone | 757-233-9885
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Fax | 757-233-0182
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KAREN A PARVIN
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Credential | DMD
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Telephone | 757-233-9885
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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 | 0401411126
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License Number State | VA
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