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General NPI Number Information
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NPI Number | 1003877911
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Entity Type | Individual
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Provider Name | KAREN E. PETERSON NP
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Gender | Female
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Dates
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Enumeration Date | 03/30/2006
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Last Update Date | 01/20/2016
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Provider Practice Location Address
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Address Line | 48 NELSON STREET
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City | LEOMINSTER
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State | MA
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Zip | 01453
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Country | US
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Telephone | 978-466-4396
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Fax | 978-466-4029
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Provider Business Mailing Address
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Address Line | 1 VALLEY VIEW CIR
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City | RUTLAND
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State | MA
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Zip | 01543-1374
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Country | US
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Telephone | 978-466-4396
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Fax | 978-466-4029
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 205602
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License Number State | MA
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