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NPI Code Detail

MEDICARE: AZURE KARLI ND

MEDICARE: AZURE KARLI ND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopath1294OR

General Provider Information

NPI Number : 1316084437
Entity Type Code : Individual
Provider Name (Legal Business Name) : AZURE KARLI ND
Provider Business Mailing Address
First Line : 715 NW HILL ST
Second Line :
City : BEND
State : OR
Zip : 97701-2922
Country : US
Telephone Number : 541-389-9750
Fax Number : 541-389-2250
Provider Business Practice Location Address
First Line : 715 NW HILL ST
Second Line :
City : BEND
State : OR
Zip : 97701-2922
Country : US
Telephone Number : 541-389-9750
Fax Number : 541-389-2250
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 07/08/2007

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Directions to “ AZURE KARLI ND” Practice Location

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