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General NPI Number Information
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NPI Number | 1023219995
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Entity Type | Individual
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Provider Name | KAREN TUTTLE L.P.N.
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Gender | Female
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2626 E 46TH ST STE J
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City | INDIANAPOLIS
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State | IN
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Zip | 46205-2380
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Country | US
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Telephone | 317-475-9066
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Fax | 317-472-9683
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Provider Business Mailing Address
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Address Line | 7615 N 200 W
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City | MC CORDSVILLE
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State | IN
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Zip | 46055-9736
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Country | US
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Telephone | 317-485-6649
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 27020933A
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License Number State | IN
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