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General NPI Number Information
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NPI Number | 1609428812
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Entity Type | Individual
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Provider Name | KARAN MALANI DPM
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Gender | Male
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Dates
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Enumeration Date | 07/09/2019
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Last Update Date | 09/04/2022
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Provider Practice Location Address
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Address Line | 3161 HARBOR BLVD STE B
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-6754
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Country | US
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Telephone | 239-430-3668
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Fax |
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Provider Business Mailing Address
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Address Line | 24150 BEATRIX BLVD APT 927
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City | PORT CHARLOTTE
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State | FL
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Zip | 33954-3893
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Country | US
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Telephone |
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Fax |
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1500
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO4398
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License Number State | FL
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