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General NPI Number Information
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NPI Number | 1225825912
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Entity Type | Individual
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Provider Name | KARL WEBER CNP
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Gender | Male
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 4612 OLEANDER DR STE 102
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City | MYRTLE BEACH
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State | SC
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Zip | 29577-5711
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Country | US
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Telephone | 843-945-8117
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Fax |
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Provider Business Mailing Address
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Address Line | 3220 SADDLEWOOD CIR
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City | MYRTLE BEACH
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State | SC
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Zip | 29579-4345
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 12772
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License Number State | MN
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