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General NPI Number Information
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NPI Number | 1851030357
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Entity Type | Individual
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Provider Name | CHASE D KARRINGTON MCKINNEY DDS
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Gender | Male
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 06/02/2022
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Provider Practice Location Address
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Address Line | 2797 US-89 #201
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City | PLEASANT VIEW
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State | UT
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Zip | 84414
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Country | US
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Telephone | 385-324-3557
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Fax |
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Provider Business Mailing Address
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Address Line | 201 E SOUTH TEMPLE APT 228
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City | SALT LAKE CITY
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State | UT
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Zip | 84111-1296
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Country | US
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Telephone | 731-445-6330
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Fax |
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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 | 12846286-9923
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License Number State | UT
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