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General NPI Number Information
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NPI Number | 1164990123
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Entity Type | Individual
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Provider Name | KARA NATKO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/07/2018
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Last Update Date | 12/07/2021
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Provider Practice Location Address
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Address Line | 7103 4TH ST NW
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City | LOS RANCHOS
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State | NM
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Zip | 87107-6641
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Country | US
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Telephone | 505-358-7155
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Fax |
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Provider Business Mailing Address
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Address Line | 9500 OSUNA RD NE APT 533
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-2287
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03438287
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License Number State | OH
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