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NPI 1154374460

NPI 1154374460 : KAREN M. CLASBY PA-C : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1154374460
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN M. CLASBY PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/18/2006
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    Last Update Date     |    09/04/2013
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Provider Practice Location Address
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    Address Line         |    11750 SW 40TH STREET 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33175
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    Country              |    US
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    Telephone            |    305-223-3000
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    Fax                  |    305-661-3054
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Provider Business Mailing Address
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    Address Line         |    1613 N. HARRISON PARKWAY SUITE 200 MAILSTOP SH-9A
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    City                 |    SUNRISE
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    State                |    FL
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    Zip                  |    33323-2896
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    Country              |    US
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    Telephone            |    954-838-2371
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    Fax                  |    954-851-1746
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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        |    363AS0400X
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    Taxonomy Name        |    Surgical Physician Assistant
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    License Number       |    PA3274
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    PA3274
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    License Number State |    FL
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