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General NPI Number Information
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NPI Number | 1295928596
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Entity Type | Organization
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Legal Business Name | KARL MAGSARILI MD PC
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 01/17/2008
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Provider Practice Location Address
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Address Line | 6975 SE LAKE RD
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City | MILWAUKIE
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State | OR
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Zip | 97267-2103
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Country | US
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Telephone | 503-905-2526
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Fax | 503-905-2545
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Provider Business Mailing Address
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Address Line | 6975 SE LAKE RD
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City | MILWAUKIE
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State | OR
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Zip | 97267-2103
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Country | US
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Telephone | 503-905-2526
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Fax | 503-905-2545
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Authorized Official
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Title or Position | PHYSICIAN AND OWNER
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Name | KARL MAGSARILI
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Credential | MD
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Telephone | 503-905-2526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | MD21192
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License Number State | OR
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