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General NPI Number Information
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NPI Number | 1326045964
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Entity Type | Individual
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Provider Name | KARL S DELUGA M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 08/11/2010
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Provider Practice Location Address
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Address Line | 2142 N COVE BLVD
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City | TOLEDO
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State | OH
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Zip | 43606-3895
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Country | US
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Telephone | 419-291-4225
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Fax | 419-479-6193
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Provider Business Mailing Address
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Address Line | PO BOX 12498
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City | TOLEDO
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State | OH
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Zip | 43606-0098
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Country | US
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Telephone | 419-291-2237
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Fax | 419-479-6193
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 35.66080
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License Number State | OH
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