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General NPI Number Information
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NPI Number | 1316302987
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Entity Type | Organization
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Legal Business Name | JILL KARATINOS M.D.
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Dates
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Enumeration Date | 12/23/2015
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Last Update Date | 12/23/2015
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Provider Practice Location Address
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Address Line | 18920 N DALE MABRY HWY SUITE 101
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City | LUTZ
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State | FL
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Zip | 33548-4929
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Country | US
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Telephone | 813-345-5946
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Fax | 813-949-0373
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Provider Business Mailing Address
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Address Line | 18920 N DALE MABRY HWY SUITE 101
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City | LUTZ
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State | FL
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Zip | 33548-4929
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Country | US
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Telephone | 813-345-5946
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Fax | 813-949-0373
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Authorized Official
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Title or Position | OWNER
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Name | DR. JILL KARATINOS
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Credential | M.D.
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Telephone | 813-345-5946
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | ME69122
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License Number State | FL
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