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General NPI Number Information
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NPI Number | 1104121714
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Entity Type | Individual
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Provider Name | KAREN BLISS HARPER NP
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Gender | Female
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Dates
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Enumeration Date | 01/13/2011
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Last Update Date | 01/13/2011
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Provider Practice Location Address
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Address Line | 3230 EAGLE PARK DR NE STE 200 HEARTLAND HOSPICE #4624
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City | GRAND RAPIDS
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State | MI
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Zip | 49525-7047
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Country | US
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Telephone | 616-956-0636
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Fax | 616-956-7617
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Provider Business Mailing Address
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Address Line | 1228 VAN PORTFLIET AVE NW
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City | GRAND RAPIDS
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State | MI
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Zip | 49534-2285
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Country | US
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Telephone | 616-453-4049
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704159166
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License Number State | MI
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