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General NPI Number Information
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NPI Number | 1952725871
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Entity Type | Individual
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Provider Name | MR. ROMAN KARP
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Gender | Male
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Dates
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Enumeration Date | 02/12/2014
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Last Update Date | 02/12/2014
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Provider Practice Location Address
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Address Line | 963 INDUSTRIAL RD SUITE F
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City | SAN CARLOS
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State | CA
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Zip | 94070-4145
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Country | US
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Telephone | 415-664-9686
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Fax | 415-294-4554
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Provider Business Mailing Address
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Address Line | 963 INDUSTRIAL RD SUITE F
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City | SAN CARLOS
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State | CA
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Zip | 94070-4145
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Country | US
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Telephone | 415-664-9686
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Fax | 415-294-4554
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA1202
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License Number State | CA
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