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General NPI Number Information
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NPI Number | 1467731620
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Entity Type | Organization
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Legal Business Name | MONTY P KAROLL, MD PC
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Dates
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Enumeration Date | 08/05/2011
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Last Update Date | 08/05/2011
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Provider Practice Location Address
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Address Line | 639 YORK ST
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City | QUINCY
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State | IL
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Zip | 62301-3963
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Country | US
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Telephone | 217-224-5031
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Fax |
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Provider Business Mailing Address
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Address Line | 200 N 8TH ST STE 99
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City | QUINCY
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State | IL
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Zip | 62301-3062
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Country | US
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Telephone | 217-222-8874
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Fax | 217-222-8874
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MONTY P KAROLL
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Credential | MD
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Telephone | 217-222-8874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 036064059
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | 036064059
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | 060007282
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 060007282
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License Number State | IL
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