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NPI 1073595435

NPI 1073595435 : ROBERT J KARL M.D. : HENDERSON, NV

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General NPI Number Information
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    NPI Number           |    1073595435
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT J KARL M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/18/2005
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    Last Update Date     |    01/26/2011
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Provider Practice Location Address
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    Address Line         |    100 N GREEN VALLEY PKWY SUITE 239
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89074-6391
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    Country              |    US
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    Telephone            |    702-933-1485
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    Fax                  |    702-933-1490
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Provider Business Mailing Address
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    Address Line         |    100 N GREEN VALLEY PKWY SUITE 239
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89074-6391
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    Country              |    US
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    Telephone            |    702-933-1485
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    Fax                  |    702-933-1490
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    11077
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    License Number State |    NV
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