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General NPI Number Information
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NPI Number | 1154552453
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Entity Type | Individual
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Provider Name | KAREN L SLATE O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/04/2009
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Last Update Date | 11/23/2022
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Provider Practice Location Address
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Address Line | 101 WELLNESS WAY
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City | MILFORD
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State | DE
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Zip | 19963-4366
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Country | US
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Telephone | 302-424-5420
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Fax | 302-424-5426
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Provider Business Mailing Address
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Address Line | 1801 ROCKLAND RD
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City | WILMINGTON
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State | DE
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Zip | 19803-3648
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Country | US
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Telephone | 302-651-4413
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Fax | 302-651-4445
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | I30011427
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG002275
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License Number State | PA
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