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NPI 1740338839

NPI 1740338839 : AMIR KARIC D.D.S. : MONTEREY PARK, CA

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General NPI Number Information
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    NPI Number           |    1740338839
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    Entity Type          |    Individual 
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    Provider Name        |    AMIR KARIC D.D.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/08/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    2071 S ATLANTIC BLVD STE.F&G
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    City                 |    MONTEREY PARK
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    State                |    CA
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    Zip                  |    91754-6347
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    Country              |    US
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    Telephone            |    323-260-7878
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    Fax                  |    323-260-7030
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Provider Business Mailing Address
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    Address Line         |    125 DIAMOND ST APT A 
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    City                 |    ARCADIA
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    State                |    CA
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    Zip                  |    91006-3852
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    Country              |    US
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    Telephone            |    626-447-0941
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    Fax                  |    626-447-0941
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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       |    47916
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    License Number State |    CA
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