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General NPI Number Information
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NPI Number | 1013197516
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Entity Type | Individual
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Provider Name | KARINE MARGARET ESTY
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Gender | Female
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 216 FOREST PARK CIR
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City | PANAMA CITY
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State | FL
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Zip | 32405-4915
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Country | US
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Telephone | 850-769-9994
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Fax | 850-769-9995
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Provider Business Mailing Address
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Address Line | 323 HIDDEN ISLAND DR
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32408-7471
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Country | US
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Telephone | 850-233-0038
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA42997
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License Number State | FL
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