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General NPI Number Information
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NPI Number | 1124593868
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Entity Type | Individual
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Provider Name | KAREN DOUGHERTY NP
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Gender | Female
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Dates
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Enumeration Date | 10/09/2018
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Last Update Date | 10/11/2025
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Provider Practice Location Address
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Address Line | 508 HIGH ST
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City | MOUNT HOLLY
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State | NJ
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Zip | 08060-1052
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Country | US
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Telephone | 609-261-8963
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Fax |
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Provider Business Mailing Address
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Address Line | 711 W SPRUCE AVE APT B
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City | WILDWOOD
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State | NJ
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Zip | 08260-6017
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Country | US
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Telephone | 856-905-4616
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 26802
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | SD-CNP002566
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License Number State | SD
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 14147-33
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5017682
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 10956
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License Number State | CT
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F35136-01
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 114079
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License Number State | WV
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | GAA-NP000985
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License Number State | GA
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00865400
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License Number State | NJ
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Taxonomy #10
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R53236
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License Number State | ND
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Taxonomy #11
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | SP025833
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License Number State | PA
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Taxonomy #12
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0024184826
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License Number State | VA
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