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General NPI Number Information
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NPI Number | 1083934277
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Entity Type | Individual
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Provider Name | JEREMY DAVID KARLIN MD
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Gender | Male
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 9300 DEWITT LOOP
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City | FORT BELVOIR
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State | VA
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Zip | 22060-5285
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Country | US
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Telephone | 712-312-4005
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Fax |
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Provider Business Mailing Address
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Address Line | 33 BLAZE HILL RD
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City | CONTOOCOOK
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State | NH
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Zip | 03229-2825
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Country | US
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Telephone | 508-685-0250
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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 | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | 0101257722
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | PT20482
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License Number State | ND
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