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General NPI Number Information
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NPI Number | 1689476434
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Entity Type | Organization
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Legal Business Name | KARACHIKITSA MEDICAL PLLC
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 4531 NW GLAZBROOK ST
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City | PORT ST LUCIE
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State | FL
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Zip | 34983-1338
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Country | US
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Telephone | 561-632-2242
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Fax |
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Provider Business Mailing Address
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Address Line | 4531 NW GLAZBROOK ST
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City | PORT ST LUCIE
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State | FL
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Zip | 34983-1338
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Country | US
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Telephone | 561-632-2242
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Fax |
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Authorized Official
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Title or Position | CEO, CMO
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Name | DR. TAMELIA DEVI LAKRAJ-EDWARDS
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Credential | MD, ONMM, MPH
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Telephone | 561-632-2242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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