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General NPI Number Information
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NPI Number | 1891782553
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Entity Type | Individual
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Provider Name | VENKATESWARA R KARUPARTHY MD
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Gender | Male
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Dates
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Enumeration Date | 09/28/2005
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Last Update Date | 01/04/2010
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Provider Practice Location Address
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Address Line | 2508 25TH ST STE D
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City | ROCK ISLAND
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State | IL
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Zip | 61201-5419
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Country | US
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Telephone | 309-762-7246
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Fax | 309-762-7242
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Provider Business Mailing Address
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Address Line | PO BOX 850
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City | MOLINE
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State | IL
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Zip | 61266-0850
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Country | US
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Telephone | 309-762-9711
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Fax | 309-762-9747
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 34461
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 34461
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License Number State | IA
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