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General NPI Number Information
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NPI Number | 1265491401
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Entity Type | Individual
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Provider Name | KAREN LEE THOMAS ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 10/22/2009
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Provider Practice Location Address
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Address Line | 1213 FIRST ST
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City | FORT MYERS
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State | FL
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Zip | 33905-3184
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Country | US
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Telephone | 330-958-2508
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Fax |
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Provider Business Mailing Address
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Address Line | 1213 FIRST ST
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City | FORT MYERS
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State | FL
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Zip | 33905-3184
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Country | US
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Telephone | 330-958-2508
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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 | 09890
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN-225610
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9296784
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License Number State | FL
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