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General NPI Number Information
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NPI Number | 1245502004
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Entity Type | Organization
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Legal Business Name | KAREN ENSIGN & ASSOCIATES INC
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 04/27/2012
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Provider Practice Location Address
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Address Line | 9111 BROADWAY
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City | MERRILLVILLE
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State | IN
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Zip | 46410-8122
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Country | US
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Telephone | 219-791-1006
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Fax | 219-791-1007
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Provider Business Mailing Address
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Address Line | 9111 BROADWAY
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City | MERRILLVILLE
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State | IN
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Zip | 46410-8122
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Country | US
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Telephone | 219-791-1006
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Fax | 219-791-1007
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Authorized Official
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Title or Position | OWNERS
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Name | KAREN LYNNE ENSIGN
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Credential | MSW, LCSW
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Telephone | 219-791-1006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34003266A
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License Number State | IN
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