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NPI Code Detail

MEDICARE: KAREN J KULAKOV ARNP

MEDICARE: KAREN J KULAKOV ARNP
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
1363LF0000XFamily Nurse Practitioner0361662303NH

General Provider Information

NPI Number : 1457467425
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN J KULAKOV ARNP
Provider Business Mailing Address
First Line : 1 FIELDSTONE DR
Second Line :
City : LONDONDERRY
State : NH
Zip : 03053-2700
Country : US
Telephone Number : 603-434-7874
Fax Number :
Provider Business Practice Location Address
First Line : 207 STAGE RD
Second Line :
City : HAMPSTEAD
State : NH
Zip : 03841-2224
Country : US
Telephone Number : 603-329-5222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 07/08/2007

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