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General NPI Number Information
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NPI Number | 1407936032
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Entity Type | Organization
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Legal Business Name | RANDY KARU, M.D., INC.
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 1900 ROYALTY DR STE 250
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City | POMONA
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State | CA
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Zip | 91767-3043
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Country | US
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Telephone | 909-623-6581
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Fax | 909-623-1751
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Provider Business Mailing Address
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Address Line | 1900 ROYALTY DR STE 250
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City | POMONA
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State | CA
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Zip | 91767-3043
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Country | US
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Telephone | 909-623-6581
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Fax | 909-623-1751
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. RANJIT NIHAL KARU
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Credential | M.D.
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Telephone | 909-623-6581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A41836
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License Number State | CA
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