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General NPI Number Information
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NPI Number | 1679521900
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Entity Type | Individual
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Provider Name | KAROLY O KISS M.D
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 26812 US HIGHWAY 19 N
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City | CLEARWATER
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State | FL
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Zip | 33761-3405
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Country | US
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Telephone | 727-799-2727
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Fax | 727-210-0810
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Provider Business Mailing Address
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Address Line | 2261 PADDOCK CIR
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City | DUNEDIN
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State | FL
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Zip | 34698-2428
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Country | US
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Telephone | 727-784-3230
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 17141
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License Number State | FL
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