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General NPI Number Information
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NPI Number | 1811923667
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Entity Type | Individual
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Provider Name | DEBORAH ANN MCCARTHY-KRISANITS D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5901 CHRISTIE AVE. STE. 106
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City | EMERYVILLE
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State | CA
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Zip | 94608-9460
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Country | US
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Telephone | 510-658-9775
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Fax | 510-658-2431
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Provider Business Mailing Address
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Address Line | 4890 VENNER RD
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City | MARTINEZ
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State | CA
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Zip | 94553-4547
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Country | US
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Telephone | 510-658-9775
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Fax | 510-658-2431
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 36797
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License Number State | CA
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