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General NPI Number Information
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NPI Number | 1861750820
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Entity Type | Organization
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Legal Business Name | KAREN KRAMARCZYK DDS FAMILY DENTISTRY OF MARICOPA
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Dates
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Enumeration Date | 04/27/2012
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Last Update Date | 04/27/2012
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Provider Practice Location Address
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Address Line | 44870 W HATHAWAY AVE
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City | MARICOPA
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State | AZ
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Zip | 85139
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Country | US
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Telephone | 520-568-7004
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Fax | 520-568-7094
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Provider Business Mailing Address
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Address Line | 44870 W HATHAWAY AVE
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City | MARICOPA
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State | AZ
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Zip | 85139
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Country | US
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Telephone | 520-568-7004
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Fax | 520-568-7094
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KAREN ANN KRAMARCZYK
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Credential | DDS
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Telephone | 520-568-7004
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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 | 5959
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License Number State | AZ
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