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General NPI Number Information
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NPI Number | 1861450728
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Entity Type | Individual
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Provider Name | KARESSA KUNTZ DDS
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Gender | Female
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 11/12/2022
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Provider Practice Location Address
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Address Line | 66 LEONARD ST STE 2
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City | BELMONT
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State | MA
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Zip | 02478-2512
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Country | US
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Telephone | 617-484-6558
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Fax |
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Provider Business Mailing Address
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Address Line | 66 LEONARD ST STE 200
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City | BELMONT
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State | MA
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Zip | 02478-2512
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Country | US
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Telephone | 704-502-5897
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 7781
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DSO83211
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN20269
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License Number State | MA
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