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General NPI Number Information
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NPI Number | 1992742944
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Entity Type | Individual
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Provider Name | DIANE P KARALEKAS M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 04/21/2020
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Provider Practice Location Address
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Address Line | 65 BOSTON POST RD W
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City | MARLBOROUGH
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State | MA
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Zip | 01752-1872
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Country | US
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Telephone | 508-481-0815
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Fax | 508-481-0820
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Provider Business Mailing Address
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Address Line | PO BOX 480
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City | NORTHBOROUGH
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State | MA
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Zip | 01532-0480
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Country | US
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Telephone | 508-481-0815
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Fax | 508-481-0820
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 81373
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License Number State | MA
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