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General NPI Number Information
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NPI Number | 1427152610
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Entity Type | Individual
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Provider Name | SHIVANAND S KARKAL MD
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Gender | Male
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 1507 S HIAWASSEE RD STE 109
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City | ORLANDO
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State | FL
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Zip | 32835-5706
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Country | US
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Telephone | 407-644-5544
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Fax | 407-294-0445
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Provider Business Mailing Address
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Address Line | 1507 S HIAWASSEE RD SUITE 109
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City | ORLANDO
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State | FL
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Zip | 32835
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Country | US
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Telephone | 407-644-5544
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Fax | 407-294-0445
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME0066221
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME66221
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License Number State | FL
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