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General NPI Number Information
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NPI Number | 1740275130
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Entity Type | Individual
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Provider Name | KAROL L OTTEMAN DO
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Gender | Female
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Dates
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Enumeration Date | 09/13/2005
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Last Update Date | 09/01/2009
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Provider Practice Location Address
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Address Line | 27780 NOVI RD SUITE 108
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City | NOVI
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State | MI
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Zip | 48377-3401
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Country | US
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Telephone | 248-348-2400
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Fax | 248-348-2991
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Provider Business Mailing Address
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Address Line | 30400 TELEGRAPH RD SUITE 350
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City | BINGHAM FARMS
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State | MI
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Zip | 48025-4537
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Country | US
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Telephone | 248-353-9460
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Fax | 248-353-8084
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 5101010595
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License Number State | MI
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