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General NPI Number Information
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NPI Number | 1164667515
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Entity Type | Organization
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Legal Business Name | KARASON PODIATRIC CENTERS, INC
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Dates
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Enumeration Date | 12/12/2008
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Last Update Date | 12/12/2008
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Provider Practice Location Address
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Address Line | 801 E PARK DR SUITE 107
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City | HARRISBURG
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State | PA
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Zip | 17111-2816
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Country | US
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Telephone | 717-367-1304
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 18099
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City | BEVERLY HILLS
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State | CA
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Zip | 90209-4099
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Country | US
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Telephone | 310-854-0203
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL C KARASON
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Credential | DPM
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Telephone | 310-854-0203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | SC004117L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | SC004177L
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License Number State | PA
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