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General NPI Number Information
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NPI Number | 1912234733
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Entity Type | Organization
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Legal Business Name | AYMAN KARKOUTLY, M.D., PA
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Dates
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Enumeration Date | 11/16/2009
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Last Update Date | 11/16/2009
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Provider Practice Location Address
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Address Line | 4001 21ST ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1101
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Country | US
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Telephone | 806-797-4774
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Fax | 806-797-4377
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Provider Business Mailing Address
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Address Line | 4001 21ST ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1101
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Country | US
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Telephone | 806-797-4774
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Fax | 806-797-4377
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AYMAN KARKOUTLY
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Credential | M.D.
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Telephone | 806-797-4774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | F7799
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License Number State | TX
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