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General NPI Number Information
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NPI Number | 1073795142
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Entity Type | Individual
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Provider Name | PATRICK THOMAS KARL D.O.
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Gender | Male
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | 1907 SUNSET BLVD
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City | JESUP
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State | GA
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Zip | 31545-7813
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Country | US
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Telephone | 912-530-7516
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Fax | 912-559-6191
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Provider Business Mailing Address
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Address Line | 1907 SUNSET BLVD
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City | JESUP
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State | GA
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Zip | 31545-7813
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Country | US
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Telephone | 912-530-7516
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 062371
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 2007-01557
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 62371
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License Number State | GA
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