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General NPI Number Information
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NPI Number | 1205888765
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Entity Type | Individual
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Provider Name | KAREN MICHELLE ELLER M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 41A MARSHELLEN DR PALMETTO PAIN PA
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City | BEAUFORT
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State | SC
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Zip | 29902-6900
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Country | US
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Telephone | 843-522-3456
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Fax | 843-522-8263
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Provider Business Mailing Address
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Address Line | PO BOX 478
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City | PORT ROYAL
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State | SC
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Zip | 29935-0478
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Country | US
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Telephone | 843-522-3456
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Fax | 843-522-8263
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 33094
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License Number State | SC
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