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General NPI Number Information
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NPI Number | 1972971646
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Entity Type | Individual
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Provider Name | KAREN DUKE RDH
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Gender | Female
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Dates
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Enumeration Date | 09/10/2015
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Last Update Date | 06/25/2023
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Provider Practice Location Address
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Address Line | 5110 MARYLAND WAY STE 190
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City | BRENTWOOD
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State | TN
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Zip | 37027-4161
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Country | US
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Telephone | 615-373-2030
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Fax |
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Provider Business Mailing Address
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Address Line | 1691 ARNOLD HOLLOW RD
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City | MC EWEN
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State | TN
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Zip | 37101-5046
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Country | US
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Telephone | 615-631-4551
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 15404
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 6754
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License Number State | TN
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