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General NPI Number Information
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NPI Number | 1043562408
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Entity Type | Individual
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Provider Name | KAREN CLARK RAMSEY R.D., LDN
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Gender | Female
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Dates
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Enumeration Date | 10/10/2012
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Last Update Date | 05/19/2014
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Provider Practice Location Address
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Address Line | 5429 COLLEGE DRIVE
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City | GRACEVILLE
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State | FL
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Zip | 32440
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Country | US
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Telephone | 850-263-4431
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Fax | 850-263-3312
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Provider Business Mailing Address
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Address Line | 5429 COLLEGE DRIVE
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City | GRACEVILLE
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State | FL
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Zip | 32440
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Country | US
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Telephone | 850-263-4431
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Fax | 850-263-3312
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND6134
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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