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General NPI Number Information
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NPI Number | 1003163072
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Entity Type | Individual
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Provider Name | KAREN MOSS EZRINE M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 08/09/2012
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Provider Practice Location Address
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Address Line | 762 REGENCY RESERVE CIR
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City | NAPLES
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State | FL
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Zip | 34119-2371
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Country | US
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Telephone | 239-354-1998
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Fax |
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Provider Business Mailing Address
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Address Line | 762 REGENCY RESERVE CIR
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City | NAPLES
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State | FL
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Zip | 34119-2371
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Country | US
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Telephone |
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | D17521
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License Number State | MD
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