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General NPI Number Information
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NPI Number | 1851494439
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Entity Type | Organization
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Legal Business Name | JAMES KARAGON PC
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 10/08/2012
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Provider Practice Location Address
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Address Line | 555 BRUSH ST 2406
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City | DETROIT
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State | MI
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Zip | 48226-4348
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Country | US
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Telephone | 313-962-4075
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 441675
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City | DETROIT
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State | MI
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Zip | 48244-1675
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Country | US
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Telephone | 313-962-4075
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES J KARAGON
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Credential | LMSW
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Telephone | 313-962-4075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801007876
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License Number State | MI
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