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General NPI Number Information
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NPI Number | 1144366741
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Entity Type | Individual
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Provider Name | KAREN MARIE WHITE RN
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 03/06/2014
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Provider Practice Location Address
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Address Line | 1201 ATRISCO DR SW
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City | ALBUQUERQUE
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State | NM
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Zip | 87105-3550
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Country | US
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Telephone | 505-877-2772
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Fax |
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Provider Business Mailing Address
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Address Line | 8215 VISTA ESTRELLA LN SW
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City | ALBUQUERQUE
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State | NM
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Zip | 87121-8972
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Country | US
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Telephone | 505-933-1604
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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 | R52496
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | R52496
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | R52496
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License Number State | NM
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