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General NPI Number Information
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NPI Number | 1235289158
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Entity Type | Individual
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Provider Name | KAREN L. ELLINGSON MD
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Gender | Female
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 04/06/2025
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Provider Practice Location Address
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Address Line | 3231 MCMULLEN BOOTH RD
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City | SAFETY HARBOR
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State | FL
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Zip | 34695-6607
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Country | US
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Telephone | 727-725-6111
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Fax |
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Provider Business Mailing Address
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Address Line | 14100 FIVAY RD STE 340
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City | HUDSON
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State | FL
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Zip | 34667-7181
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Country | US
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Telephone | 727-861-0237
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Fax | 727-861-0278
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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