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NPI 1194605303

NPI 1194605303 : KAREN TAYLOR MATHEWS : ST PETERSBURG, FL

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General NPI Number Information
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    NPI Number           |    1194605303
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN TAYLOR MATHEWS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/08/2025
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    Last Update Date     |    02/11/2026
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Provider Practice Location Address
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    Address Line         |    2460 43RD ST N 
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    City                 |    ST PETERSBURG
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    State                |    FL
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    Zip                  |    33713-3200
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    Country              |    US
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    Telephone            |    703-595-5615
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2460 43RD ST N 
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    City                 |    ST PETERSBURG
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    State                |    FL
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    Zip                  |    33713-3200
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    Country              |    US
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    Telephone            |    703-595-5615
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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        |    2080P0202X
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    Taxonomy Name        |    Pediatric Cardiology Physician
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    License Number       |    202617923
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    License Number State |    NC
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