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NPI 1972810984

NPI 1972810984 : JUSTIN P KARREL DMD : CLIFTON PARK, NY

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General NPI Number Information
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    NPI Number           |    1972810984
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    Entity Type          |    Individual 
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    Provider Name        |    JUSTIN P KARREL DMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/13/2010
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    Last Update Date     |    09/04/2025
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Provider Practice Location Address
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    Address Line         |    989 NY-146 
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    City                 |    CLIFTON PARK
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    State                |    NY
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    Zip                  |    12065
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    Country              |    US
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    Telephone            |    518-240-1404
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    Fax                  |    207-947-0435
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1599 
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    City                 |    BANGOR
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    State                |    ME
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    Zip                  |    04402-1599
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    Country              |    US
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    Telephone            |    978-875-1081
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    Fax                  |    207-947-0435
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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       |    061255
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    License Number State |    NY
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