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General NPI Number Information
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NPI Number | 1437131547
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Entity Type | Individual
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Provider Name | KARL MARTIN LARSEN MD
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Gender | Male
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 11/03/2014
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Provider Practice Location Address
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Address Line | 2446 RESEARCH PKWY SUITE 200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-1087
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Country | US
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Telephone | 719-623-1050
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Fax | 719-623-1052
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Provider Business Mailing Address
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Address Line | 2446 RESEARCH PKWY SUITE 200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-1087
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Country | US
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Telephone | 719-623-1050
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Fax | 719-623-1052
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 41401
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 41401
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 43404
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 43404
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License Number State | CO
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