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General NPI Number Information
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NPI Number | 1003164575
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Entity Type | Individual
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Provider Name | KAREN JOHNSON PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/15/2012
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 55 BRENDON WAY STE 300
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City | ZIONSVILLE
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State | IN
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Zip | 46077-1955
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Country | US
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Telephone | 317-498-9834
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Fax | 317-981-3132
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Provider Business Mailing Address
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Address Line | 55 BRENDON WAY
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City | ZIONSVILLE
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State | IN
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Zip | 46077-1961
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Country | US
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Telephone | 317-447-4532
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Fax | 317-981-3132
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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 | 10000367A
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License Number State | IN
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