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General NPI Number Information
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NPI Number | 1548582729
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Entity Type | Organization
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Legal Business Name | KARASON MASTER SURGEONS
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Dates
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Enumeration Date | 02/16/2010
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Last Update Date | 02/16/2010
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Provider Practice Location Address
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Address Line | 5025 J ST SUITE 316
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City | SACRAMENTO
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State | CA
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Zip | 95819-3839
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Country | US
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Telephone | 310-854-0203
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1420
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City | LINCOLN
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State | CA
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Zip | 95648-1420
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Country | US
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Telephone | 310-854-0203
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL C KARASON
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Credential | DPM
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Telephone | 310-854-0203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | E4538
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License Number State | CA
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