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General NPI Number Information
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NPI Number | 1861838260
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Entity Type | Individual
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Provider Name | EFSTATHIOS KARAMANOS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/13/2013
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 400 N PEPPER AVE
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City | COLTON
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State | CA
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Zip | 92324-1801
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Country | US
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Telephone | 909-580-3353
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Fax | 909-580-1363
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Provider Business Mailing Address
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Address Line | PO BOX 670
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City | REDLANDS
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State | CA
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Zip | 92373-0221
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Country | US
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Telephone | 909-747-0371
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Fax |
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 036154902
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 036154902
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | A195429
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License Number State | CA
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