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General NPI Number Information
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NPI Number | 1093743643
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Entity Type | Individual
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Provider Name | STACEY L. KARNS P.A.
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Gender | Female
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 07/09/2009
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Provider Practice Location Address
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Address Line | 202 E MAIN ST
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City | STANBERRY
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State | MO
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Zip | 64489-1358
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Country | US
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Telephone | 660-783-2192
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Fax | 660-783-2616
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Provider Business Mailing Address
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Address Line | 202 E MAIN ST PO BOX 99
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City | STANBERRY
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State | MO
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Zip | 64489-1358
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Country | US
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Telephone | 660-783-2192
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Fax | 660-783-2616
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 113478
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License Number State | MO
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