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General NPI Number Information
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NPI Number | 1780653972
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Entity Type | Individual
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Provider Name | KAREN M TARTT CALLIER D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 08/19/2014
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Provider Practice Location Address
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Address Line | 3367 BUFORD HWY NE SUITE910
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City | ATLANTA
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State | GA
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Zip | 30329-1833
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Country | US
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Telephone | 678-843-8700
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Fax | 404-633-0502
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Provider Business Mailing Address
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Address Line | 424 DECATUR ST SE
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City | ATLANTA
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State | GA
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Zip | 30312-1848
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Country | US
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Telephone | 678-843-8500
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Fax | 404-633-0502
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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 | DN011827
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License Number State | GA
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