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General NPI Number Information
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NPI Number | 1396934626
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Entity Type | Organization
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Legal Business Name | KARL T. DOCKRAY, M.D., P.A.
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 1808 19TH ST
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City | LUBBOCK
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State | TX
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Zip | 79401-4811
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Country | US
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Telephone | 806-763-5774
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Fax |
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Provider Business Mailing Address
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Address Line | 1808 19TH ST
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City | LUBBOCK
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State | TX
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Zip | 79401-4811
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Country | US
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Telephone | 806-763-5774
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KARL T. DOCKRAY
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Credential | M.D.
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Telephone | 806-763-5774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C8947
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License Number State | TX
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