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General NPI Number Information
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NPI Number | 1144037466
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Entity Type | Individual
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Provider Name | KARINA PALACIOS
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Gender | Female
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 800 E DAWSON ST
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City | TYLER
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State | TX
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Zip | 75701-2036
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Country | US
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Telephone | 903-525-2668
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Fax |
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Provider Business Mailing Address
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Address Line | 9861 COUNTY ROAD 489
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City | TYLER
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State | TX
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Zip | 75706-6815
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Country | US
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Telephone | 903-520-3091
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 870608
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1191147
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License Number State | TX
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