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General NPI Number Information
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NPI Number | 1215998653
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Entity Type | Individual
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Provider Name | KAREN S KATO OD
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Gender | Female
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 06/11/2012
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Provider Practice Location Address
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Address Line | 3001 6TH ST NAVAL HOSPITAL GREAT LAKES
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City | GREAT LAKES
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State | IL
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Zip | 60088-2833
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Country | US
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Telephone | 847-688-2616
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Fax | 847-688-2382
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Provider Business Mailing Address
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Address Line | 31016 PRAIRIE RIDGE CT S
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-4899
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Country | US
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Telephone | 847-688-2616
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Fax | 847-688-2382
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2197
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License Number State | MN
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