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General NPI Number Information
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NPI Number | 1063618494
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Entity Type | Individual
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Provider Name | KAREN S. BRADSHAW NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 6801 LAKE WORTH RD #100W
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City | GREENACRES
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State | FL
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Zip | 33467
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Country | US
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Telephone | 561-965-9559
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Fax | 561-964-9904
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Provider Business Mailing Address
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Address Line | 10115 FOREST HILL BLVD SUITE 300
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City | WELLINGTON
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State | FL
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Zip | 33414-3105
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Country | US
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Telephone | 561-328-6165
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Fax | 561-328-6091
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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 | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | 2739042
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 2739042
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License Number State | FL
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