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General NPI Number Information
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NPI Number | 1275693491
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Entity Type | Organization
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Legal Business Name | KARUVATH ENU MD PC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 12/04/2007
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Provider Practice Location Address
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Address Line | 64 GREEN ST
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City | HUDSON
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State | NY
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Zip | 12534-2328
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Country | US
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Telephone | 518-828-5200
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Fax | 518-828-5427
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Provider Business Mailing Address
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Address Line | 64 GREEN ST
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City | HUDSON
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State | NY
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Zip | 12534-2328
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Country | US
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Telephone | 518-828-5200
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Fax | 518-828-5427
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KARUVATH ENU
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Credential | M.D.
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Telephone | 518-828-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 110197
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License Number State | NY
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