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General NPI Number Information
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NPI Number | 1205959467
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Entity Type | Individual
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Provider Name | PROF. KAREN VANDERHOOK
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 31507 OAK ORCHARD RD UNIT 14
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City | MILLSBORO
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State | DE
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Zip | 19966
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Country | US
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Telephone | 302-841-8933
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Fax |
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Provider Business Mailing Address
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Address Line | 32277 FALLING POINT RD
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City | DAGSBORO
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State | DE
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Zip | 19939-4068
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Country | US
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Telephone | 302-732-0911
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 2004203429
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License Number State | DE
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