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General NPI Number Information
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NPI Number | 1770810962
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Entity Type | Organization
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Legal Business Name | THE KARAM CENTER LLC
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Dates
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Enumeration Date | 11/09/2009
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Last Update Date | 11/09/2009
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Provider Practice Location Address
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Address Line | 11200 FARM RD 2222
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City | AUSTIN
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State | TX
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Zip | 78730-1001
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Country | US
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Telephone | 512-231-9933
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Fax | 512-794-9577
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Provider Business Mailing Address
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Address Line | 11200 FARM RD 2222
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City | AUSTIN
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State | TX
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Zip | 78730-1001
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Country | US
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Telephone | 512-231-9933
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Fax | 512-794-9577
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MR. CHARLES WILLIAM KARAM
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Credential |
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Telephone | 512-231-9933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | F008577
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License Number State | TX
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