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General NPI Number Information
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NPI Number | 1639413891
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Entity Type | Individual
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Provider Name | TARA S KARMO PA
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Gender | Female
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Dates
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Enumeration Date | 11/12/2012
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 5300 ELLIOTT DR
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City | YPSILANTI
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State | MI
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Zip | 48197-8632
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Country | US
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Telephone | 734-434-6262
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Fax | 734-712-2820
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Provider Business Mailing Address
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Address Line | 30055 NORTHWESTERN HWY STE 250
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3230
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Country | US
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Telephone | 248-985-5555
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Fax | 248-985-5555
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 5601006347
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License Number State | MI
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