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General NPI Number Information
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NPI Number | 1871533265
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Entity Type | Organization
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Legal Business Name | RAVINDRA KARMARKAR, MD, SC
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 09/07/2007
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Provider Practice Location Address
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Address Line | 11625 N RIVERLAND RD
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City | MEQUON
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State | WI
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Zip | 53092-2736
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Country | US
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Telephone | 262-236-1316
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Fax | 262-236-0065
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Provider Business Mailing Address
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Address Line | 11625 N RIVERLAND RD
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City | MEQUON
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State | WI
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Zip | 53092-2736
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Country | US
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Telephone | 262-236-1316
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Fax | 262-236-0065
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAVINDRA KARMARKAR
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Credential | MD
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Telephone | 262-236-0316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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