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General NPI Number Information
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NPI Number | 1528139789
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Entity Type | Individual
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Provider Name | KENT EDWARD KARRAS DC
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Gender | Male
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 601 E SAN YSIDRO BLVD SUITE 170
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City | SAN YSIDRO
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State | CA
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Zip | 92173-3100
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Country | US
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Telephone | 619-662-9001
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Fax | 619-662-9007
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Provider Business Mailing Address
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Address Line | 555 FRONT ST SUITE 1702
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City | SAN DIEGO
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State | CA
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Zip | 92101-6700
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Country | US
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Telephone | 619-252-4582
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Fax | 619-702-9280
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC26561
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License Number State | CA
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