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General NPI Number Information
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NPI Number | 1760827570
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Entity Type | Organization
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Legal Business Name | C CRAIG KARRASCH DPM LTD
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Dates
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Enumeration Date | 05/07/2013
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Last Update Date | 07/09/2013
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Provider Practice Location Address
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Address Line | 435 W PLUMB LN
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City | RENO
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State | NV
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Zip | 89509-3766
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Country | US
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Telephone | 775-786-5561
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Fax | 775-786-5646
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Provider Business Mailing Address
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Address Line | 435 W PLUMB LN
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City | RENO
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State | NV
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Zip | 89509-3766
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Country | US
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Telephone | 775-786-5561
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Fax | 775-786-5646
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | DEANNA GATHINGS
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Credential |
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Telephone | 775-786-5561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0034
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License Number State | NV
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