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General NPI Number Information
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NPI Number | 1649765181
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Entity Type | Individual
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Provider Name | NATHAN KARAKAD DO
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Gender | Male
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 07/29/2022
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Provider Practice Location Address
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Address Line | 1035 S STATE ROAD 7 STE 209
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City | WELLINGTON
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State | FL
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Zip | 33414-6136
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Country | US
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Telephone | 813-489-9828
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Fax |
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Provider Business Mailing Address
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Address Line | 1035 S STATE ROAD 7 STE 209
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City | WELLINGTON
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State | FL
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Zip | 33414-6136
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Country | US
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Telephone | 813-489-9828
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | UO6291
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | OS16443
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License Number State | FL
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