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General NPI Number Information
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NPI Number | 1063463438
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Entity Type | Individual
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Provider Name | KARREN YVONNE ARVIDSON RN, CRNFA
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Gender | Female
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 06/04/2008
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Provider Practice Location Address
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Address Line | 1300 ANNE ST NW
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City | BEMIDJI
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State | MN
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Zip | 56601-5103
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Country | US
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Telephone | 218-333-5773
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Fax |
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Provider Business Mailing Address
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Address Line | 20479 COUNTY 95
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City | LAPORTE
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State | MN
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Zip | 56461-4122
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Country | US
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Telephone | 218-224-2121
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Fax | 218-224-4032
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R 068754-6
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License Number State | MN
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