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General NPI Number Information
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NPI Number | 1912447988
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Entity Type | Organization
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Legal Business Name | KARINA MARR DDS PLLC
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Dates
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Enumeration Date | 02/24/2017
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Last Update Date | 02/24/2017
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Provider Practice Location Address
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Address Line | 9409 GARLAND RD SUITE 110
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City | DALLAS
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State | TX
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Zip | 75218-3424
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Country | US
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Telephone | 214-321-4880
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Fax | 888-607-0096
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Provider Business Mailing Address
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Address Line | 9409 GARLAND RD SUITE 110
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City | DALLAS
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State | TX
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Zip | 75218-3424
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Country | US
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Telephone | 214-321-4880
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Fax | 888-607-0096
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Authorized Official
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Title or Position | OWNER
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Name | KARINA MARR
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Credential | DDS
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Telephone | 214-321-4880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 22237
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License Number State | TX
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