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NPI 1023724036

NPI 1023724036 : KAREN LATHERS FNP-C : CAMARILLO, CA

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General NPI Number Information
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    NPI Number           |    1023724036
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN LATHERS FNP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/24/2023
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    Last Update Date     |    02/11/2026
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Provider Practice Location Address
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    Address Line         |    4009 MISSION OAKS BLVD 
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    City                 |    CAMARILLO
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    State                |    CA
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    Zip                  |    93012-5156
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    Country              |    US
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    Telephone            |    805-312-9412
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    Fax                  |    844-407-0518
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Provider Business Mailing Address
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    Address Line         |    4009 MISSION OAKS BLVD 
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    City                 |    CAMARILLO
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    State                |    CA
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    Zip                  |    93012-5156
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    Country              |    US
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    Telephone            |    805-312-9412
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    Fax                  |    844-407-0518
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    95023836
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    License Number State |    CA
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