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General NPI Number Information
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NPI Number | 1730225467
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Entity Type | Individual
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Provider Name | KAREN HOM D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7425 W. AZURE SUITE 105
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City | LAS VEGAS
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State | NV
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Zip | 89130
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Country | US
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Telephone | 702-227-6453
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Fax | 702-733-7466
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Provider Business Mailing Address
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Address Line | 5920 MICHELLI CREST WAY
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City | LAS VEGAS
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State | NV
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Zip | 89149-1239
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Country | US
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Telephone | 702-227-6453
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Fax | 702-733-7466
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3333
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License Number State | NV
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